From the Department of Dermatotology, Glasgow Royal Infirmary, Glasgow Scotland Abstract. He considered that the disease invariably resulted from circumcision or dorsal slit for phimosis but many cases have since been described unconnected with preputial surgery. It affects the glans penis, external meatus, sulcus, and occasionally the penile shaft.
Diagnostic difficulty arises when the eruption is of restricted distribution.
There is a mottled or parchment-like appearance with white or ivory areas scattered throughout apparently normal tissue. There may be a stricture of the external meatus and sclerotic changes obliterating the frenum. Serious or haemorrhagic bullae, which may rupture to form erosions may occur around the urinary meatus. Adhesions between the glans and prepuce may occur. Pigmentation and telangiectasia may develop, giving an appearance resembling radiodermatitis.