A Rare Case of Congenital Angiokeratoma of the Glans Penis Treated Using a 595-nm Pulsed Dye Laser

Burnett, Christopher T.; Kouba, David J.

doi:10.1111/j.1524-4725.2012.02546.x

Cited by 11 publications

(24 citation statements)

References 16 publications

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“…He had not been aware of the PEAKERs on his glans penis or the angiokeratomas on his scrotum; he was not interested in any therapeutic intervention for his genital angiokeratomas. His genital symptoms completely resolved after he began to treat the affected areas with a lotion containing menthol (0.5%) and camphor (0.5%) 20 angiokeratomas were observed in ten men [5,13,15,16,19,22,24], current report, and [ 30 lesions were reported in three men [7,21], current report. Descriptive terms were used to define the number of lesions for the remaining men: multiple (six men) [8,9,14,17,18,23], few to several (five men) [12], few to several dozen (five men) [25], many (two men) [6,10] and numerous (one man) [18] (Table 1).…”

Section: Clinical Presentationmentioning

confidence: 81%

“…PEAKER-associated symptoms were observed in 39% (16 of 41) of men. These included bleeding (12 men) [5,7,8,16,23,25], current report, increasing size of the lesions (10 men) [5,7,11,16,17,25], abrupt onset of new lesions (2 men) [17,21], pain (2 men) [16], current report, and/or pruritus (2 men) [7], current report. Multiple symptoms were experienced by ten men: two symptoms (eight men) [5,7,25], current report, or three symptoms (two men) [7,16].…”

Section: Symptomsmentioning

confidence: 97%

“…However, the youngest patient with a PEAKER was a 7-year-old boy with a recurrent lesion on his glans penis of 6-month duration that had increased in size and frequently bled. However, the boy had had a similar lesion that was present at birth and had been surgically removed when he was an infant [5]. Examination showed a circumcised man with three 1-2 mm purple papules on the left side of his glans penis adjacent to the urethral meatus (black arrows).…”

Section: Epidemiologymentioning

confidence: 99%

“…One patient's lesions were noted after circumcision [9]. Another patient's initial angiokeratoma was congenital; however, the recurrence of his penile angiokeratoma had been present for 6 months prior to diagnosis and treatment [5].…”

Section: Durationmentioning

confidence: 99%

“…Another man's PEAKER required three sequential excisions since it recurred twice after the initial and second surgeries [16]. A third patient had his congenital penile angiokeratoma excised during infancy; however, it recurred at the same site when he was 7 years of age; it was successfully treated without recurrence (at 1 year follow-up) using a 595-nm pulsed dye laser after three treatment sessions [5].…”

Section: Treatmentmentioning

confidence: 99%

See 4 more Smart Citations

Penile Angiokeratomas (PEAKERs) Revisited: A Comprehensive Review

Cohen

Celano

2020

Dermatol Ther (Heidelb)

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Angiokeratomas are benign vascular lesions. Genital angiokeratomas, also referred to as Fordyce angiokeratomas, usually occur on the scrotum in men and the vulva in women. Penile angiokeratoma (PEAKER) is a subtype of genital angiokeratoma in men; clitoral angiokeratoma (CLANKER) is its embryologic analog in women. The PubMed database was used to search the following words: angiokeratoma, clitoris, genital, peaker, penile, penis, rejuvenation, scrotal, scrotum and vulva. The relevant papers and references cited in those papers that were generated by the search were reviewed. The purpose of this article is to summarize the features of PEAKERs. PEAKERs have been described in 54 men. They usually appeared in younger men and had been present for a mean duration of 4 years prior to the individual seeking medical attention. Only 39% of the men had angiokeratoma-associated symptoms:

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Section: Clinical Presentationmentioning

confidence: 81%

Section: Symptomsmentioning

confidence: 97%

Section: Epidemiologymentioning

confidence: 99%

Section: Durationmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

See 3 more Smart Citations

Penile Angiokeratomas (PEAKERs) Revisited: A Comprehensive Review

Cohen

Celano

2020

Dermatol Ther (Heidelb)

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Angiokeratoma

Saxton-Daniels¹

2016

Dermatological Cryosurgery and Cryotherapy

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A Case Report of Scrotal Rejuvenation: Laser Treatment of Angiokeratomas of the Scrotum

Cohen¹

2018

Dermatol Ther (Heidelb)

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Scrotal rejuvenation encompasses not only the functional quality but also the aesthetic appearance of the scrotum. It includes medical therapy and procedural interventions to improve scrotal conditions that require morphologic restoration and/or aesthetic alteration. Rejuvenation of the scrotum may be appropriate for aging-related and non-aging-related changes concerning the hair (alopecia and hypertrichosis), the morphology (laxity and wrinkles), and/or the vascularity (angiokeratoma) of the scrotum. Angiokeratomas—typically small, asymptomatic, purple papules—may occur on the scrotum. However, these benign vascular lesions may be of cosmetic concern to the affected individuals; in addition, the angiokeratomas can become an issue of medical importance if they begin to bleed. Multiple locally destructive modalities are available for the treatment of scrotal angiokeratomas; indeed, several lasers have effectively been used to treat angiokeratomas of the scrotum. A 70-year-old man with numerous scrotal angiokeratomas experienced scrotal bleeding in the absence of prior trauma to the area or sexual activity. He presented for treatment to prevent future episodes of spontaneous bleeding from his scrotal angiokeratomas, but he also had not liked the aesthetic appearance of the previously asymptomatic angiokeratomas on his scrotum. His angiokeratomas were successfully treated with three sequential 532-nm potassium titanyl phosphate (KTP) laser sessions, which led to not only functional but also cosmetic improvement of his scrotum. In conclusion, men can develop scrotal changes due to either intrinsic (aging) or extrinsic (trauma) causes, but nonsurgical interventions and surgical procedures are available for the management of these conditions in individuals who desire to rejuvenate their scrotum.

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A Rare Case of Congenital Angiokeratoma of the Glans Penis Treated Using a 595-nm Pulsed Dye Laser

Cited by 11 publications

References 16 publications

Penile Angiokeratomas (PEAKERs) Revisited: A Comprehensive Review

Penile Angiokeratomas (PEAKERs) Revisited: A Comprehensive Review

Angiokeratoma

A Case Report of Scrotal Rejuvenation: Laser Treatment of Angiokeratomas of the Scrotum

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