Erythroplasia of Queyrat (Bowen Disease of the Glans Penis) Clinical Presentation

Updated: Nov 07, 2019
  • Author: Vikas Shrivastava, MD; Chief Editor: Dirk M Elston, MD  more...
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Presentation

History

Patients with erythroplasia of Queyrat (EQ) typically present with solitary or multiple, often times nonhealing, lesions on the glans penis and/or adjacent mucosal epithelium. [1]

Presenting symptoms can vary and may include the following:

  • Redness

  • Crusting

  • Scaling

  • Ulceration

  • Bleeding

  • Pain

  • Itching

  • Dysuria

  • Penile discharge

  • Difficulty retracting the foreskin

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Physical Examination

Single or multiple, nontender, slightly raised, red papules and plaques on the glans penis and/or adjacent mucosal epithelium are seen in erythroplasia of Queyrat; the inner surface of the foreskin or coronal sulcus may be involved. [1] The plaques may appear smooth, velvety, scaly, crusty, or verrucous. Note the image below.

The patient is usually uncircumcised. [14]

There may also be involvement or the urethral meatus. [9]

Erythroplasia of Queyrat. Courtesy of Hon Pak, MD. Erythroplasia of Queyrat. Courtesy of Hon Pak, MD.
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Complications

Dermatological and urological complications may occur.

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