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Lichen nitidus presents a diagnostic challenge that requires careful differentiation from other penile lesions, with management approaches ranging from watchful waiting to active intervention based on presentation severity.

This case revolves around a 64-year-old patient with a lesion that has evolved significantly over 18 months, presenting a scenario that intersects clinical observation with differential diagnosis

Cutaneous focal mucinosis, a condition characterized by the accumulation of mucin in the dermis, necessitates histopathological confirmation for accurate diagnosis. This underscores the importance of a multidisciplinary approach in dermatology for both diagnosis and management.

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