Penile lupus vulgaris

T. J. Jaisankar, B. R. Garg, B. S. Reddy, B. Riba, Anil P Rama Rao

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

A 46-year-old man who is a weaver presented with penile ulcer of 18 months' duration. The problem started as a solitary painless eruption over the coronal sulcus, and in 2 months the lesions changed into multiple, painless small ulcers followed by the development of inguinal swellings. There was no history of bleeding from the ulcers nor any urethral discharge. The patient was married and his wife gave no history suggestive of tuberculosis or genital ulceration, and on examination she was completely normal. Neither the patient nor his wife gave any history of extramarital sex. No history of cough, hemoptysis, nor evening rise of temperature was present. The patient had lost considerable weight after the disease had started. He took penicillin injections, tablets, and capsules from various doctors, but there was no improvement. Past history revealed that the patient had been admitted for backpain and weakness of both lower limbs at a nearby hospital 19 years earlier. He was diagnosed as having tuberculosis of the spine and was treated with antituberculous drugs for a period of 6 months. When he was discharged he stopped treatment on his own since his symptoms had disappeared. Examination of the genitalia revealed that the prepuce was easily retractable. Multiple shallow, nontender, nonbleeding, superficial ulcers of varying sizes, from 3 x 3 mm to 8 x 8 mm, were present over the glans penis and the inner aspect of the prepuce (Fig. 1). Most of the ulcers were confluent. They were pale pink with a granulomatous base and covered with a crust at a few areas. The margins of the ulcers were undermined. On palpation there was neither induration nor tenderness. The inguinal lymph nodes on either side were enlarged, firm, matted, and nontender (Fig. 1). Prostate and scrotal contents were normal. Examination of the spine showed angular kyphosis over the upper half, but there was no sensory or motor deficit. The rest of the systemic examination, including that of the lungs, was normal.

Original languageEnglish (US)
Pages (from-to)272-274
Number of pages3
JournalInternational Journal of Dermatology
Volume33
Issue number4
StatePublished - 1994
Externally publishedYes

Fingerprint

Lupus Vulgaris
Ulcer
Groin
Spouses
Tuberculosis
Spine
Kyphosis
Genitalia
Hemoptysis
Palpation
Penis
Cough
Penicillins
Tablets
Capsules
Prostate
Lower Extremity
Lymph Nodes
History
Hemorrhage

ASJC Scopus subject areas

  • Dermatology

Cite this

Jaisankar, T. J., Garg, B. R., Reddy, B. S., Riba, B., & Rama Rao, A. P. (1994). Penile lupus vulgaris. International Journal of Dermatology, 33(4), 272-274.

Penile lupus vulgaris. / Jaisankar, T. J.; Garg, B. R.; Reddy, B. S.; Riba, B.; Rama Rao, Anil P.

In: International Journal of Dermatology, Vol. 33, No. 4, 1994, p. 272-274.

Research output: Contribution to journalArticle

Jaisankar, TJ, Garg, BR, Reddy, BS, Riba, B & Rama Rao, AP 1994, 'Penile lupus vulgaris', International Journal of Dermatology, vol. 33, no. 4, pp. 272-274.
Jaisankar TJ, Garg BR, Reddy BS, Riba B, Rama Rao AP. Penile lupus vulgaris. International Journal of Dermatology. 1994;33(4):272-274.
Jaisankar, T. J. ; Garg, B. R. ; Reddy, B. S. ; Riba, B. ; Rama Rao, Anil P. / Penile lupus vulgaris. In: International Journal of Dermatology. 1994 ; Vol. 33, No. 4. pp. 272-274.
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