Scrotal glans penis (glans penis plicatum) associated with scrotal tongue (lingua plicata)

Scrotal glans penis (glans penis plicatum), is manifested by thin deep vertical furrows and tiny papillomas of the glans penis. The condition is similar to the changes seen in scrotal tongue (lingua plicata). Both conditions were seen in the same patient, We are unaware of similar cases described previously, A 26 year old Caucasian married man, complained of a two-year history of tenderness of the head of the penis occurring during sexual intercourse, at about the time of ejaculation. The patient had been aware of cracks on the head of the penis since before the age of six and wondered ii these were responsible for his recent discomfort. The patient was aware that his tongue had grooves which did not bother him, but he could not specify when this was first noticed. No family member was known to have a similar penile or tongue condition. On the advice of his general practitioner, he had used on his penis an antifungal cream, ketoconazole (Nizoral), and a topical steroid cream, mometasone furoate (Elocom), without effect. He was otherwise in good health and not on any medication. There was a history of allergy to penicillin. Physical examination revealed that the penis was circumcised, The glans was of normal size and color and had several parallel, thin furrows running from the urethral opening to the corona, Multiple tiny, skin-colored papillomas were present on the glans with the majority on its dorsal aspect. Separating the furrows by pulling the skin folds apart, revealed no cracks or bleeding (Fig. 1). The scrotum was normal and showed no similar changes. The tongue showed typical features of scrotal tongue (lingua plicata) (Fig. 2). The rest of the physical examination was unremarkable.