Abstract: Background: Psoriasis is a chronic, inflammatory cutaneous disorder, affecting at least 11.4% of the general population.Genital psoriasis affects approximately 49% of male psoriasis patients at least once during their lifetime.In most patients, genital psoriasis is a presentation of generalised plaque psoriasis, although the external genitalia may be affected in isolation in 2% to 5% of patients with psoriasis.Genital psoriasis often manifests as well-demarcated, erythematous plaques.In addition to plaque psoriasis, the genital area may also be affected by pustular psoriasis.In men, the entire penis, scrotum and inguinal folds may be involved.In uncircumcised men, psoriatic plaques are most common on the proximal glans penis and under the prepuce.In circumcised men, the most commonly affected areas are the glans penis and corona.In either case, mucosal involvement predominates.Methods: We present a case of recurrent plaque psoriasis affecting the penile shaft without mucosal involvement over the course of a decade.This rare presentation highlights the importance of using hallmark histologic and non-cutaneous signs of psoriasis to facilitate the diagnosis of genital psoriasis when clinical appearance at a specific site may be atypical.Results: Resolution of the plaque, while never achieved even with optimised topical therapy, has been sustained on systemic therapy for psoriasis.