SCLEROSING LYMPHANGITIS OF THE PENIS – A CASE REPORT
Abstract
Background/Aim: Sclerosing lymphangitis of the penis is a rare non-infectious condition that most commonly occurs in young sexually active individuals. It is characterized by the sudden appearance of a painless, band-like thickening in the area of the coronal sulcus, which is preceded by intense sexual intercourse or masturbation. The aim of this paper was to present a patient with the characteristic clinical picture of non-venereal sclerosing lymphangitis of the penis and to remind healthcare professionals, particularly dermatologists and urologists, of this rare condition.
Case report: A 32-year-old male in good general health presented to a dermatologist with a painless thickening on the shaft of the penis that appeared after intense sexual intercourse. Clinical examination revealed the presence of a painless, translucent, thick, band-like structure with a cartilaginous consistency behind the corona of the glans, without enlargement of regional lymph nodes. Serological tests for syphilis did not indicate recent infection. The patient was advised to refrain from sexual activity, and after four weeks, the changes had resolved.
Conclusion: Sclerosing lymphangitis of the penis is a rare benign, non-infectious condition that occurs in younger sexually active individuals and often causes concern. It can present a diagnostic challenge for healthcare providers due to its clinical similarity to superficial penile vein thrombophlebitis or atypical early syphilitic penile lesions. Therefore, it is important that urologists and dermatologists do not overlook it in their daily practice.
References
Hoffmann E. Vortäuschung primärer Syphilis durch gonorrhoische Lymphangitis. Münchner Med Wochenschrift 1923; 70: 1167-8.
Hoffman E. Über nicht venerische plastiche Lymphangitis im Sulcus coronarius penis mit umschriebenem Ödem. Dermatologische Zeitschrift 1938;78(1): 24-27. Available at: https://doi.org/10.1159/000253637
Babu AK, Krishnan P, Andezuth DD. Sclerosing lymphangitis of penis-literature review and report of 2 cases. Dermatol Online J. 2014, 20(7):1-3. Available at: https://doi.org/10.5070/D3207023136
Tamraz H, Kibbi A-G, Abbas O. Firm cord-like band over the penile shaft. Int J Dermatol 2012;51(1):29–30. doi:10.1111/j.1365-4632.2011.05073.x.
Rosen T, Hwong H. Sclerosing lymphangitis of the penis. J Am Acad Dermatol 2003;49(5):916–8. doi: 10.1016/s0190-9622(03)00464-x.
Yap FB. Nonvenereal sclerosing lymphangitis of the penis. South Med J. 2009, 102(12):1269-71. doi: 10.1097/SMJ.0b013e3181bf27f6
Broaddus SB, Leadbetter GW. Surgical management of persistent, symptomatic nonvenereal sclerosing lymphangitis of the penis. J Urol 1982;127(5):987–8. doi: 10.1016/s0022-5347(17)54158-0.
Al-Mwalad M, Loertzer H, Wicht A, Fornara P. Subcutaneous penile vein thrombosis (Penile Mondor’s Disease): pathogenesis, diagnosis, and therapy. Urology 2006;67(3):586-8. doi: 10.1016/j.urology.2005.09.054
Sardinha JC, Lima LL, Heibel M, Schettini A, Talhari S, Talhari C. Atypical manifestations of recent syphilis: study of 19 cases. An Bras Dermatol. 2020; 95(5):589-93. doi: 10.1016/j.abd.2020.03.008.
Kumar B, Narang T, Radotra BD, Gupta S. Mondor’s disease of penis: a forgotten disease. Sex Transm Infect. 2005; 81 (6): 480-2. doi: 10.1136/sti.2004.014159.
Bjekić M, Begović-Vuksanović B, Grujičić S. Trend ranog sifilisa u Beogradu u periodu od 2001. do 2020. godine. Zdravst Zašt. 2023; 52(2): 34-45. doi: 10.5937/zdravzast52-45082.