Kissing nevus or divided nevus of the uncircumcised penis in an Indian man

印度男性未割包皮阴茎上的吻痣或分裂痣

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Abstract

Kissing nevi are rare congenital melanocytic nevi (CMN) that develop on adjacent skin areas separated during embryogenesis. We report a 25-year-old uncircumcised man with two asymptomatic brownish-black macules on the dorsolateral glans penis and inner foreskin, aligning as "kissing" lesions. Dermoscopy showed a structureless brown center with peripheral pigment globules. Their embryological origin involves melanoblast migration before or during preputial placode separation. While typically benign, rare cases of malignant transformation necessitate regular monitoring. Treatment options, including surgery and laser therapy, should balance functional and aesthetic considerations. This case highlights the clinical significance of this unique entity.

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