Figure 1: (a and b) Multiple, discrete, rounded, hyperpigmented verrucous papules, ranging from 3 to 5 mm on dorsal and ventral surfaces of the shaft of the penis. (c) Single, 4 cm × 3 cm, irregular, smooth surfaced, hyperpigmented plaque, on the base of the penis extending to the upper part of the scrotum. (d) (H and E, ×40): Biopsy from hyperpigmented plaque showed acanthotic epidermis with atypical keratinocytes spanning the full thickness of the epidermis giving rise to a windblown appearance with intact basement membrane and dermal melanophages. (e) (H and E, ×400): Biopsy from hyperpigmented plaque showed atypical keratinocytes with intact basement membrane and dermal melanophages