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
Mallikarjuna N Reddy
Department of Genito-Urinary Surgery, Osmania General Hospital, Hyderabad, Andhra Pradesh
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
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.
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 ,,,,, 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.
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