1/7. psoriasis of the penis: Koebner reaction. Following oral genital exposure.Today, there is an apparent increase in oral genital activity among heterosexual groups not only in the united states but also globally. As a result, gonococcal pharyngitis was rediscovered, and primary syphilis of the oral cavity has been recognized with increasing frequency. In addition, physicians are seeing a wide variety of traumatic lesions of the genitals from "hickeys" of the labia to dental imprints and ulcerations of the glans penis. Our patient exhibits an interesting phenomenon recognized readily elsewhere on the skin but infrequently diagnosed on the glans penis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/7. Paraffinoma and ulcer of the external genitalia after self-injection of vaseline.We present a 42-year-old circumcised man with a 10-cm firm, irregular penile mass associated with multiple penile ulcers, voiding difficulty, and erectile dysfunction. He reluctantly admitted that 8 months previously, he had multiple mineral-oil (vaseline) self-injections to the penis, for penile enlargement purposes. Histopathological examination revealed the condition was consistent with mineral-oil granuloma (paraffinoma). The patient did not accept surgical intervention; therefore, we performed local therapy (intralesional triamcinolone) and hot-water baths. Paraffinoma results from mineral-oil injections. Such injections are rare; however, they are still being performed in some countries in Eastern europe and the far east such as korea. Increased physician and public awareness are needed for prevention and treatment of complications of this physically and psychologically debilitating and destructive problem.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/7. Fixed drug eruption to sulindac.We report a case of fixed drug eruption secondary to sulindac (Clinoril). Owing to the drug's current popularity we believe that physicians should be made aware of this phenomenon. We present a patient who had the unusual feature of hypopigmentation associated with healing of his lesion. A brief review of clinical features and pathophysiology of fixed drug eruption is also presented.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/7. Penile tourniquet syndrome caused by hair.We have described two circumcised children who developed a urethral fistula caused by long hairs constricting and ulcerating the penis. These cases are presented to remind physicians to examine the infant's penis when he presents with a swollen glans, abnormal urinary stream, and a parent with long hair.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/7. Pigmented penile lesions (fixed drug eruptions) associated with tetracycline therapy for sexually transmitted diseases.Two men had pigmented penile lesions that were diagnosed as fixed drug eruptions. The lesions developed after ingestion of tetracycline for nongonococcal urethritis and syphilis, respectively. Because use of tetracycline for treatment of sexually transmitted diseases is becoming more common, physicians must be able to recognize the allergic reactions to this drug.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/7. Penile purpura as a manifestation of lichen sclerosus et atrophicus.Heightened public and professional awareness of the sexual abuse of children demands that physicians be able to distinguish lesions associated with sexual abuse from those caused by primary skin disorders. purpura is an occasional manifestation of pediatric lichen sclerosus et atrophicus (LSA), especially when the vulva is affected. We report a 12-year-old boy with penile purpura that occasioned a consideration of sexual abuse but proved to be due to LSA.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/7. Sclerosing lipogranulomatosis: a case report of scrotal injection of automobile transmission fluid and literature review of subcutaneous injection of oils.For nearly a century, physicians and laypersons have attempted to repair, reconstruct, and embellish the human body in numerous ways by injecting various oils beneath the skin. Soon after Gersuny's first reported subcutaneous injection of oil, the local and systemic complications became apparent. Despite this, the practice of oil injections continues. "Medical grade" silicone injection was investigated in the 1960s to 1980s with varied success and complications. While few physicians practice oil injection therapy, some laypersons continue to subject themselves or their clients to the risk of the disfiguring complications of sclerosing lipogranulomata. Accidental high-pressure injection injury of liquids, so-called grease gun injuries, continues to provide a therapeutic challenge for the hand surgeon. Our case of a man who injected automobile transmission fluid into his scrotum illustrates the classical course and proper management of sclerosing lipogranulomata. A subcutaneous inflammatory and fibrosing reaction occurred with regional lymphadenopathy. The need for complete excision of all involved tissue to treat the condition successfully is illustrated. This case also illustrates the tendency of patients to conceal from their doctors the history of self-injection of foreign bodies. In cases of self-injection, psychological counseling might certainly be appropriate.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |