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Sclerosing Lymphagitis of the penis./ Linfangitis esclerosante del pene.
Data-Médicos
Dermagic/Express No. 3-(98)
31 Marzo 2.001 31 March 2.001.
EDITORIAL ESPAÑOL
=================
Hola amigos DERMAGIC de nuevo con ustedes, el tema de hoy LA LINFANGITIS
ESCLEROSANTE DEL PENE. Esta patología realmente es POCO CONOCIDA, por muchos y
por ello la presento hoy.
De hecho no encontré FOTOS en la internet sobre
ella. En mi búsqueda por la red encontré 2 casos descritos asociados a cuadros
POST herpes genital, uno a Clamydia, Y OTRO a sífilis, donde proponen los
autores descartar siempre esta enfermedad (SÍFILIS) en esta condición.
TODAS
estas son enfermedades de transmisión sexual, entonces hay que pensar que
existe una variante VENÉREA Y OTRA NO VENÉREA ASOCIADA A TRAUMATISMO LOCAL (masturbación
y relaciones sexuales). OTROS autores la relacionan a antígenos relacionados
con el factor VIII de la coagulación y proponen el termino de FLEBITIS DE
MONDOR DEL PENE. El tratamiento todo un reto para cualquier
dermatólogo, por lo general la
enfermedad desaparece en varias semanas y se recomienda evitar relaciones
sexuales y masturbación para evitar el trauma local, uno o quizá el principal
factor que la ocasiona.
GRACIAS al Dr. Rolando Hernández (VENEZUELA) por las Fotos.
En las referencias los hechos.
Saludos a todos...
Dr. José Lapenta R.
EDITORIAL ENGLISH
=================
Hello friends DERMAGIC again with you, the today topic SCLEROSING LYMPHANGITIS
OF THE PENIS. This pathology is really NOT VERY WELL-KNOWN, for many and for I
present it today. In fact I didn't find PICTURES in the internet on her. In my
search for the net I found 2 described cases associated to POST herpes
genitalis, one to Chlamydia, AND ANOTHER to syphilis, where the authors intend
to always discard this illness (SYPHILIS) in this condition.
ALL these they
are illnesses of sexual transmission, then it is necessary to think that a
VENEREAL AND NON-VENEREAL variants exists. The non-venereal variant probably
ASSOCIATED TO LOCAL TRAUMATISM (masturbation and sexual relationships). OTHER
authors relate it to antigens related with the factor VIII of the clotting and
they propose the I TERM of MONDOR'S phlebitis OF THE PENIS. The treatment an entire challenge for any dermatologist, in general the
illness disappears in several weeks and it is recommended to avoid sexual
relationships and masturbation to avoid the local trauma, maybe the main
factor that causes it.
Thanks to Dr. Rolando Hernandez (VENEZUELA) for the pictures.
In the references the facts.
Greetings to all...
Dr José Lapenta R.
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REFERENCIAS BIBLIOGRÁFICAS / BIBLIOGRAPHICAL REFERENCES
============================================================
0.) SCLEROSING LYMPHANGITIS OF THE PENIS. THE HISTORY
1.) Non-venereal sclerosing lymphangitis of the penis following herpes
progenitalis.
2.) Nonvenereal sclerosing lymphangitis of the penis.
3.) [Sclerosing lymphangitis of the penis, the upper lip and the labium minus]
4.) Nonvenereal sclerosing lymphangitis of the penis.
5.) Non-venereal sclerosing lymphangitis of the penis.
6.) Non-venereal sclerosing lymphangitis of the penis. A clinicopathologic
treatise.
7.) Mondor's phlebitis of the penis. A condition miscalled 'non-venereal
sclerosing lymphangitis'.
8.) Circular indurated lymphangitis of the penis.
9.) [Indications for corticotherapy in phlebology]
10.) [A case for diagnosis: sclerosing lymphangitis of the penis].
11.) [Non-venereal sclerosing lymphangitis of the penis].
12.) [Non-venereal sclerosing lymphangitis of the penis].
13.) Nonvenereal sclerosing lymphangitis of the penis.
14.) [A case of non-venereal sclerosing lymphangitis of the penis].
15.) [A case of Mondor's disease of the penis].
16.) Non-venereal sclerosing lymphangitis of the penis associated with
masturbation.
17.) [2 cases of sclerosing lymphangitis of the sex organs].
18.) Mondor's phlebitis of the penis: a study with factor VIII related antigen.
19.) [Non-venereal sclerosing lymphangitis of the penis revealed as phlebitis
by positive factor
VIII-related antigen].
20.) Surgical management of persistent, symptomatic nonvenereal sclerosing
lymphangitis of the penis.
21.) Sclerosing lymphangitis of the penis: a lymphangiofibrosis thrombotica
occlusiva.
22.) Sclerosing lymphangitis of the penis: a possible chlamydia aetiology.
23.) [Development of non-venereal sclerosing lymphangitis of the penis
following herpetic balanitis].
24.) [Case of sclerosing lymphangitis of the sex organs].
25.) [Nonveneral sclerosing lymphangitis of the penis].
26.) Benign transient lymphangiectasis (sclerosing lymphangitis) of the penis.
27.) [Sclerosing lymphagitis of the penis].
28.) Lymphocoele and localized lymphoedema of the penis.
29.) Nonvenereal sclerosing lymphangitis of the penis.
30.) Sclerosing non-venereal lymphangitis of the penis].
31.) Sclerosing lymphangitis of the penis.
32.) Nonvenereal sclerosing lymphangitis of the penis.
============================================================
0.) SCLEROSING LYMPHANGITIS OF THE PENIS. THE HISTORY
============================================================
SOURCE: MED HELP INTERNATIONAL
Forum: The Urology Forum
Question Posted By: Jonathan on Thursday, December 30, 1999
I have a condition that in many respects appears to be sclerosing lymphangitis
- a vein-like fibrous area under the skin, just below or medial from the glans,
on the left side of the penis, going around the circumference. The left end
can move or when I touch it, but on the right end seems to be connected
internally. When I am not erect, it is about 1/2 inch long and 1/16 inch wide.
When I am erect or it is irritated, it is 3/4 inch long and 1/8 inch wide.
When I am having sex, it can fairly easily become painful and/or swollen.
I first encountered it about 10 years ago, after a period of intense
masturbation. The problem is that it has not gone away, though I have had
periods of a month or more with no sexual activity or masturbation. In the
last year, it has gotten worse in that it is longer, more prominent during
sexual activity, and more often painful. Often I feel a soreness or itchiness
(under the skin surface) after sexual activity. Using a condom tends to
increase the symptoms.
Recently, I have seen a couple of dermatologists about this, one of whom
suggested that it may be sclerosing lymphangitis. I then went to two
urologists, neither of whom was familiar with the term. All have said that
there is no STD or other such problem is present.
So my question is - are there non-surgical ways of helping this heal? And if
it persists, how do I find urologists who have treated this problem?
Thank you.
Answer Posted By: HFHS M.D.-BL on Thursday, December 30, 1999
Dear Jonathan,
Sclerosing lymphangitis is a translucent cordlike lesion that occurs on the
shaft of glans of the penis. It is usually flesh-colored but may appear
slightly red. It is most commonly associated with vigorous sexual activity,
but it is also seen with infections including gonorrhea, syphilis, chlamydia,
and herpes. When biopsy specimens are looked at under the microscope,
thrombosed lymphatic vessels are seen. The thrombosis of these vessels is
theorized to be secondary to the local trauma.
Most cases of Sclerosing Lymphangitis of the penis are not painful and remit
within several weeks. Treatment has traditionally consisted of avoidance of
vigorous sexual activity until the lesion disappears. I am not sure how long
you initially went without sex once you were given a preliminary diagnosis,
but you may have started sexual activity too soon. Unfortunately a true
diagnosis of Sclerosing Lymphangitis would necessitate a biopsy and
examination under a microscope, but this is rarely required. This disorder is
usually self-limited (lasting only a few weeks), but in a few rare cases in
which there are persistent symptomatic lesions surgery is indicated. For a
rare and confusing case such as yours I would suggest that you seek a
urologist at an academic hospital with a Urology residency training program.
This information is provided for general medical educational purposes only.
Please consult your physician for diagnostic and treatment options pertaining
to your specific medical condition. More individualized care is available at
the Henry Ford Hospital and its satellites (1 800 653-6568).
============================================================
1.) Non-venereal sclerosing lymphangitis of the penis following herpes
progenitalis.
============================================================
SO - Br J Dermatol 1977 Jun;96(6):679-80
AU - Van de Staak WJ
PT - JOURNAL ARTICLE
AB - Two patients are described in which non-venereal sclerosing lymphangitis
of the penis
occurred immediately after a herpes simplex infection. The possibility of a
causal relationship
between these two conditions is discussed.
============================================================
2.) Nonvenereal sclerosing lymphangitis of the penis.
============================================================
SO - Arch Dermatol 1975 Jul;111(7):902-3
AU - Fiumara NJ
PT - JOURNAL ARTICLE
AB - Sclerosing lymphangitis of the penis with a purplish, cord-like structure,
singular or multiple
around the coronal sulcus, appears 24 to 48 hours after sexual relations.
There is edema of the glans
penis and coronal area, which is doughy and plastic. The condition is
self-limited.
============================================================
3.) [Sclerosing lymphangitis of the penis, the upper lip and the labium minus]
============================================================
SO - Hautarzt 1974 May;25(5):231-7
AU - Stolz E; Kampen WJ van; Vuzevski V
PT - JOURNAL ARTICLE
============================================================
4.) Nonvenereal sclerosing lymphangitis of the penis.
============================================================
SO - Arch Dermatol 1972 May;105(5):728-9
AU - Greenberg RD; Perry TL
PT - JOURNAL ARTICLE
============================================================
5.) Non-venereal sclerosing lymphangitis of the penis.
============================================================
SO - Br J Dermatol 1970 Jun;82(6):632-3
AU - Boyd AS
PT - JOURNAL ARTICLE
============================================================
6.) Non-venereal sclerosing lymphangitis of the penis. A clinicopathologic
treatise.
============================================================
SO - Acta Derm Venereol 1970;50(4):309-12
AU - Kandil E; al-Kashlan IM
PT - JOURNAL ARTICLE
============================================================
7.) Mondor's phlebitis of the penis. A condition miscalled 'non-venereal
sclerosing lymphangitis'.
============================================================
SO - Clin Exp Dermatol 1977 Mar;2(1):65-7
AU - Findlay GH; Whiting DA
PT - JOURNAL ARTICLE
============================================================
8.) Circular indurated lymphangitis of the penis.
============================================================
SO - Arch Dermatol 1976 Aug;112(8):1146
AU - Baden HP; Provan J; Tanenbaum L
PT - JOURNAL ARTICLE
AB - Circular lymphangitis of the penis has been seen in three of our patients,
two of whom
complained of mild discomfort. A patient with syphilis was initially
misdiagnosed because of similar
clinical findings. A serologic test for syphilis should be performed in all
patients with this disorder.
============================================================
9.) [Indications for corticotherapy in phlebology]
============================================================
SO - Phlebologie 1979 Oct-Dec;32(4):375-82
AU - Chatard H
MC - English Abstract
PT - JOURNAL ARTICLE
AB - Corticosteroid therapy has not revolutionised phlebology but it is very
useful in certain cases.
The following indications are considered, with or without associated
antibiotics : anaphylactic shock
after sclerosant injections, chronic lymphangitis of the lower limbs,
sclero-inflammatory
hypodermatitis, eczemas, phlebitis, ulcers and angiomas. Various forms of
corticosteroid therapy are
considered ; injectable, long-acting, local and oral.
============================================================
10.) [A case for diagnosis: sclerosing lymphangitis of the penis].
============================================================
Ann Dermatol Venereol 1994;121(4):351-2
[Article in French]
Alfandari S, Delaporte E, Piette F, Bergoend H
============================================================
11.) [Non-venereal sclerosing lymphangitis of the penis].
============================================================
Arch Esp Urol 1992 Sep;45(7):705-7
[Article in Spanish]
Murillo Mirat J, Soler Fernandez J, Torrubia Romero FJ, Caballero Gomez M,
Herrera Puerto J
Servicio de Urologia del Hospital Regional Infanta Cristina, Badajoz, Espana.
Non-venereal sclerosing lymphangitis of the penis is a rare condition that
affects the distal lymphatics
of this organ. It has been reported to be frequently associated with trauma to
this area and, although
it has a minimum inflammatory component, its etiology is unknown. A
serpinginous nodular lesion in
the sulcus coronarius penis may be observed by the patient. Because it is
generally self-limiting,
treatment is initially conservative and surgical excision is performed only if
symptomatic lesions
persist. The present study reports an additional case. The literature is
reviewed and the possible
etiopathogenic mechanisms and therapeutic alternatives are discussed.
============================================================
12.) [Non-venereal sclerosing lymphangitis of the penis].
============================================================
Minerva Urol Nefrol 1992 Jan-Mar;44(1):47-8
[Article in Italian]
Aragong F
Publication Types:
Letter
============================================================
13.) Nonvenereal sclerosing lymphangitis of the penis.
============================================================
Cutis 1991 Jun;47(6):421-2
Gharpuray MB, Tolat SN
Department of Dermatology, B.J. Medical College, Maharashtra, India.
============================================================
14.) [A case of non-venereal sclerosing lymphangitis of the penis].
============================================================
Minerva Urol Nefrol 1991 Jan-Mar;43(1):47-8
[Article in Italian]
Bodo G, Ollino M, Bellandini R
Divisione di Urologia, USSL n. 40, Ospedale Civile, Ivrea, Torino.
The Authors describe a case of non venereal sclerosing lymphangitis of the
penis. They also delineate
the differential diagnosis, the causes and the therapies of this disease.
============================================================
15.) [A case of Mondor's disease of the penis].
============================================================
Hinyokika Kiyo 1988 Jul;34(7):1245-8
[Article in Japanese]
Doi Y, Takeyama M, Matsui T, Fujioka H
Department of Urology, Osaka Central Hospital.
A case of Mondor's disease of the penis in a 40-year-old man is reported. The
patient complained
of a small subcutaneous induration (0.5 x 1.0 cm) with slight tenderness in
the dorsal region of the
penile shaft. On examination, the linear cord was palpated running both
distally and proximally from
the induration. This lesion was removed under local anesthesia, and the
induration and the cord were
found to be part of the superficial dorsal vein of the penis. The venous wall
was thick and the
thrombus was packed in it. Histological findings showed the proliferation of
connective tissue of the
vessel wall and partially granulating thrombus in the canal. From these
findings, we confirmed the
diagnosis of Mondor's disease of the penis. The etiology of this disease,
especially in comparison
with non-venereal sclerosing lymphangitis of the penis (N.S.L.P.) is discussed.
============================================================
16.) Non-venereal sclerosing lymphangitis of the penis associated with
masturbation.
============================================================
Br J Urol 1987 Feb;59(2):194-5 Related Articles, Books, LinkOut
Sieunarine K
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17.) [2 cases of sclerosing lymphangitis of the sex organs].
============================================================
Vestn Dermatol Venerol 1984 Sep;(9):64-5
[Article in Russian]
Vitenchuk SZ, Mitrofanova NB, Belov AS
============================================================
18.) Mondor's phlebitis of the penis: a study with factor VIII related antigen.
============================================================
Acta Derm Venereol 1984;64(4):337-40 Related Articles, Books, LinkOut
Tanii T, Hamada T, Asai Y, Yorifuji T
Four patients with so-called non-venereal sclerosing lymphangitis of the penis
are reported. It was
suggested that the affected vessels were veins by positively stained factor
VIII related antigen with
the unlabeled peroxidase-antiperoxidase method. If cord-like linear
subcutaneous swelling observed
in the coronary sulcus or dorsal region of the penile shaft originate from the
vein, it seems correct to
call this disease as Mondor's phlebitis of the penis.
============================================================
19.) [Non-venereal sclerosing lymphangitis of the penis revealed as phlebitis
by positive factor
VIII-related antigen].
============================================================
Nippon Hifuka Gakkai Zasshi 1983 Nov;93(12):1347-9
[Article in Japanese]
Tanii T, Hamada T, Asai Y, Yorifuji T
============================================================
20.) Surgical management of persistent, symptomatic nonvenereal sclerosing
lymphangitis of the penis.
============================================================
J Urol 1982 May;127(5):987-8
Broaddus SB, Leadbetter GW
Nonvenereal sclerosing lymphangitis of the penis is a rare condition involving
the distal lymphatics of
the penis. Its association with trauma has been shown. Although there is a
minimal inflammatory
response the etiology is unknown. Clinically, the patient notices a nontender,
serpiginous nodular
mass just proximal to the coronal sulcus. Most cases are self-limited and
conservative management is
indicated. Surgical excision is warranted for persistently symptomatic lesions.
============================================================
21.) Sclerosing lymphangitis of the penis: a lymphangiofibrosis thrombotica
occlusiva.
============================================================
Br J Dermatol 1981 Jun;104(6):687-95
Marsch WC, Stuttgen G
Three patients with so-called non-venereal sclerosing lymphangitis of the
penis are presented. Light
and electron microscopy of one case revealed a lymphatic collecting vessel
with a fibrin thrombus in
the process of recanalization and vessel wall fibrosis due to hyperplasia of
smooth muscle cells and
fibroblasts. The term 'lymphangiofibrosis thrombotica occlusiva' is proposed.
Lymph stasis is
suggested as a provoking factor for the dilatation and clinically striking
firm thickening of the affected
collecting vessel. No microorganisms were recognized. Within the fibrin
thrombus, sprouts of
endothelial cells showed intracellular vacuoles, probably indicating the first
identifiable step in lymph
capillary lumen formation. Signs of collagen remodelling were encountered in
the thickened vessel
wall.
============================================================
22.) Sclerosing lymphangitis of the penis: a possible chlamydia aetiology.
============================================================
Acta Derm Venereol 1981;61(5):455-6
Kristensen JK, Scheibel J
============================================================
23.) [Development of non-venereal sclerosing lymphangitis of the penis
following herpetic balanitis].
============================================================
Cesk Dermatol 1979 Dec;54(6):361-3
[Article in Slovak]
Farkas J
============================================================
============================================================
24.) [Case of sclerosing lymphangitis of the sex organs].
============================================================
Vestn Dermatol Venerol 1978 Nov;(11):58-61
[Article in Russian]
Torsuev NA, Bukharovich MN
============================================================
============================================================
25.) [Nonveneral sclerosing lymphangitis of the penis].
============================================================
Actas Dermosifiliogr 1978 Sep-Oct;69(9-10):309-12
[Article in Spanish]
Moreno Izquierdo R, Merino Monge E, Guerra Tapia A, Barrio Fuertes A
============================================================
============================================================
26.) Benign transient lymphangiectasis (sclerosing lymphangitis) of the penis.
============================================================
Br J Vener Dis 1977 Dec;53(6):379-85
Hutchins P, Dunlop EM, Rodin P
============================================================
27.) [Sclerosing lymphagitis of the penis].
============================================================
Ned Tijdschr Geneeskd 1977 Oct 8;121(41):1597-8
[Article in Dutch]
Neering H, Starink TM
============================================================
28.) Lymphocoele and localized lymphoedema of the penis.
============================================================
Br J Vener Dis 1976 Dec;52(6):409-11
McMillan A
Six patients with lymphocoele or sclerosing lymphangitis of the penis attended
the Department of
Venereology, Royal Infirmary, Edinburgh, during a 9-month period. Clinical
details of these patients
are given and the aetiology of the condition is discussed.
============================================================
29.) Nonvenereal sclerosing lymphangitis of the penis.
============================================================
Arch Dermatol 1975 Jul;111(7):902-3
Fiumara NJ
Sclerosing lymphangitis of the penis with a purplish, cord-like structure,
singular or multiple around
the coronal sulcus, appears 24 to 48 hours after sexual relations. There is
edema of the glans penis
and coronal area, which is doughy and plastic. The condition is self-limited.
============================================================
30.) Sclerosing non-venereal lymphangitis of the penis].
============================================================
Minerva Med 1973 Dec 26;64(93):4967-70
[Article in Italian]
Matheis H
============================================================
31.) Sclerosing lymphangitis of the penis.
============================================================
Br J Vener Dis 1972 Dec;48(6):545-8 Related Articles, Books, LinkOut
Lassus A, Niemi KM, Valle SL, Kiistala U
============================================================
============================================================
32.) Nonvenereal sclerosing lymphangitis of the penis.
============================================================
Arch Dermatol 1972 May;105(5):728-9
Greenberg RD, Perry TL
============================================================
33.) Non-venereal sclerosing lymphangitis of the penis. A clinicopathologic
treatise.
============================================================
Acta Derm Venereol 1970;50(4):309-12
Kandil E, al-Kashlan IM
============================================================
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DATA-MEDICOS/DERMAGIC-EXPRESS No 3-(98) 31/03/2.001 DR. JOSE LAPENTA
R.
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