Indian Journal of Urology
CASE REPORT
Year
: 2000  |  Volume : 16  |  Issue : 2  |  Page : 165--166

Spontaneous penile skin gangrene in AIDS


Mallikarjuna N Reddy, A Thyagi, D Sharma, VSNL, Eashwar K Goud 
 Department of Genito-Urinary Surgery, Osmania General Hospital, Hyderabad, India

Correspondence Address:
Mallikarjuna N Reddy
Department of Genito-Urinary Surgery, Osmania General Hospital, Hyderabad, Andhra Pradesh
India

Abstract

AIDS is a systematic infection of retrovirus causing immunodeficiency. Many varied manifestations of the dis­ease have been reported. Systemic vasculitis has been re­ported in as one of the manifestations of the syndrome. This has resulted in areas of skin necrosis in varied parts of «SQ»the body. We report a case of penile skin necrosis which occurred spontaneously in a 25-year-old male patient with no evidence of trauma or infection.



How to cite this article:
Reddy MN, Thyagi A, Sharma D, VSNL, Goud EK. Spontaneous penile skin gangrene in AIDS.Indian J Urol 2000;16:165-166


How to cite this URL:
Reddy MN, Thyagi A, Sharma D, VSNL, Goud EK. Spontaneous penile skin gangrene in AIDS. Indian J Urol [serial online] 2000 [cited 2022 Jul 6 ];16:165-166
Available from: https://www.indianjurol.com/text.asp?2000/16/2/165/22461


Full Text

 Introduction



Presence of skin necrosis has been documented in AIDS. The cause was attributed to vasculitis or anti-phospholi­pid antibodies in the serum. None of them have reported spontaneous penile skin necrosis. Most of the spontane­ous penile skin necroses were a part of Fournier's gan­grene.

 Case Report



A 25-year-old male patient presented to our outpatient department with loss of the skin over the penis. There was no history of trauma or in terms of sexual activity or ap­plication of tourniquet or any erogenous devices. He had developed generalized lymphadenopathy and presented with black skin hanging loose from the penis and the pe­nis having slough on the exposed surface [Figure 1]. There was no foul smell suggestive of infection and the patient was voiding normally from the urethra. Investigations of the patient showed that his renal parameters and the blood counts to be under normal limits. His CD4 counts were [1],[2],[3],[4],[5],[6] Cutaneous gangrene due to hyperparathyroidism secondary to chronic renal failure were reported. A case of penile necrosis with extensive Kaposi's sarcoma was reported by Klein et al. The presentation is surprisingly only skin involvement of the penile skin with no extension into the underlying tis­sues with no evidence of trauma or infection.

References

1Stein M, Anderson C, Ricciardi R et al. Penile gangrene associated with chronic renal failure: report of 7 cases and review of the litera­ture. J Urol 1994; 152: 2014-2016.
2Atalay AC, Karaman MI. Distal penile gangrene in a patient with chronic renal failure. Int J Urol 1997; 4: 431-432.
3Jhaveri FM, Woosley JT, Fried FA. Penile calciphylaxis: rare necrotic lesions in chronic renal failure patients. J Urol 1998; 160: 764-767.
4Wilkinson SP, Stewart WK, Parham DM, Guthrie W. Symmetric gangrene of the extremities in late renal failure: a case report and review of the literature. Q J Med 1988; 67: 319-341.
5Soweid AM. Hajjar RR, Hewan-Lowe KO. Gonzalez EB. Skin necrosis indicating antiphospholipid syndrome in patient with AIDS. South Med J 1995; 88: 786-788.
6Klein LT, Lowe FC. Penile gangrene associated with extensiveKaposi's sarcoma in patients with the acquired immunodeficiency syndrome. Urology 1995; 46: 425-428.