SCLEROSING LYMPHANGITIS OF THE PENIS
LINFANGITIS ESCLEROSANTE DEL PENE
EDITORIAL ESPAÑOL
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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 presentamos hoy.
1.) HISTORIA:
La
LINFANGITIS ESCLEROSANTE DEL PENE., fue descrita por primera vez por
Hoffman
en 1923,
quien inicialmente la denominó
LINFANGITIS PLÁSTICA NO VENÉREA DEL SURCO CORONAL.
Se le conoce también o ha sido descrita con otros nombres:
A.- LINFANGITIS NO VENÉREA BENIGNA TRANSITORIA DEL PENE.
B.- LINFANGIO FIBROSIS OCLUSIVA TROMBÓTICA DEL PENE.
C.- ENFERMEDAD O FLEBITIS DE MONDOR DEL PENE.
Hay que aclarar aca que la FLEBITIS DE MONDOR CLÁSICA
afecta principalmente las venas subcutáneas de la pared
toracoabdominal, pero como también afecta a las venas superficiales
del
surco balanoprepucial, se le atribuye este nombre.
Es una patología dermatológica poco frecuente, con pocos casos
descritos en la literatura.
2.) ETIOLOGÍA:
A.- La hipótesis más aceptada hoy día, son
MICROTRAUMATISMOS
producidos por una
ACTIVIDAD SEXUAL INTENSA,
o la MASTURBACION, estos serían los desencadenantes principales.
Pero si el TRAUMATISMO es la causa única, porque existen tan pocos
casos descritos en la literatura ?
B.- En casos aislados se ha asociado a infecciones de transmisión
sexual, como lo son el
HERPES SIMPLE,
CLAMIDIA,
LINFOGRANULOMA VENÉREO, URETRITIS GONOCÓCICA,
GRANULOMA INGUINAL
y SÍFILIS.
C.- Y también se han propuesto otro tipo de etiologías NO VENÉREAS
COMO:
ENTEROVIRUS, TUBERCULOSIS, o IRRITACIÓN por
el sangrado menstrual de la mujer durante el acto sexual.
D.- OTROS autores la relacionan a antígenos relacionados con el
FACTOR VIII
de la coagulación y proponen el nombre de
FLEBITIS DE MONDOR DEL PENE.
Pero las causas más aceptada sigue siendo los
MICROTRAUMATISMOS.
3.) FISIOPATOLÓGICAMENTE:
3.) FISIOPATOLÓGICAMENTE:
Se describe una obstrucción o inflamación de los vasos linfáticos
superficiales del pene, lo que genera el cordón o engrosamiento
palpable.
El diagnóstico es clínico y debe diferenciarse de otras causas de
lesiones del pene, especialmente infecciones de transmisión sexual
(ETS).
4.) CARACTERÍSTICAS CLÍNICAS:
Se presenta clásicamente como como una tumefacción o inflamación
lineal en forma de cordón duro y delgado, poco dolorosa, que puede
rodear parcial o completamente el glande, pero principalmente se
localiza en el surco coronal, es decir el surco balanoprepucial.
La lesión por lo general es indolora, pero puede causar molestias
durante el acto sexual y la erección, y se nota a simple vista porque
el cordón es translúcido o blanquecino, y móvil al tacto; también
puede presentarse inflamación leve del prepucio o glande; en algunos
casos se ha presentado erosion y ulceraciones.
Esta enfermedad afecta principalmente a hombres jóvenes de entre 18 y
45 años, con una máxima de 50 años. La lesión es benigna, por lo general, desaparece espontáneamente en
varias semanas, y más rápidamente si se instaura un tratamiento
adecuado.
5.) TRATAMIENTO:
A.- Reposo de la actividad sexual para evitar mayores traumatismos.
B.- Antiinflamatorios no esteroideos (AINES) si hay síntomas de
dolor, o corticoides más potentes para disminuir la inflamación, por
cortos periodo de tiempo.
C.- Localmente cremas emolientes y cremas con esteroides de baja
potencia.
D.- Explicarle al paciente la probable causa para tranquilizarlo;
pero si hay infección, diagnosticar la causa y tratarla
específicamente.
El periodo de curación oscila entre 3 y 8 semanas.
6.) RESUMEN:
1.) No es una enfermedad venérea.
2.) No está causada directamente por infecciones sexuales.
3.) Es una patología rara y benigna, ocasionada por TRAUMATISMOS locales, en la mayoría de los casos.
4.) Rutinariamente debe descartarse Enfermedad de Transmisión Sexual
(ETS).
Saludos a todos...
Dr. Jose M. Lapenta.
EDITORIAL ENGLISH:
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Hello, Dermagic friends, back with you today. Today's topic is
SCLEROSING LYMPHANGITIS OF THE PENIS. This condition is truly little known by many, which is why we are
presenting it today.
1.) HISTORY:
SCLEROSING LYMPHANGITIS OF THE PENIS was first described by HOFFMAN in 1923, who initially called it Non-venereal lymphangitis of the coronal sulcus.
It is also known or has been described under other names:
A.) TRANSIENT BENIGN NON-VENEREAL LYMPHANGITIS OF THE PENIS.
B.) THROMBOTIC OCCLUSIVE LYMPHANGIOFIBROSIS OF THE PENIS.
C.) DISEASE OR PHLEBITIS OF MONDOR of THE PENIS.
1.) HISTORY:
SCLEROSING LYMPHANGITIS OF THE PENIS was first described by HOFFMAN in 1923, who initially called it Non-venereal lymphangitis of the coronal sulcus.
It is also known or has been described under other names:
A.) TRANSIENT BENIGN NON-VENEREAL LYMPHANGITIS OF THE PENIS.
B.) THROMBOTIC OCCLUSIVE LYMPHANGIOFIBROSIS OF THE PENIS.
C.) DISEASE OR PHLEBITIS OF MONDOR of THE PENIS.
It should be clarified here that CLASSIC MONDORS' PHLEBITIS primarily affects the subcutaneous veins of the thoracoabdominal wall, but since it also affects the superficial veins of the balanopreputial sulcus, this name is attributed to it.
It is a rare dermatological condition, with few cases described in the literature.
2.) ETIOLOGY:
A.- The most widely accepted hypothesis today is that MICROTRAUMA caused by INTENSE SEXUAL ACTIVITY or MASTURBATION would be the main triggers.
But if TRAUMA is the sole cause, why are there so few cases described in the literature?
B.- In isolated cases, it has been associated with sexually transmitted infections, such as HERPES SIMPLEX, CHLAMYDIA, LYMPHOGRANULOMA VENEREUM, GONOCOCCAL URETHRITIS, GRANULOMA INGUINAL, and SYPHILIS.
C.- Other non-venereal etiologies have also been proposed, such as ENTEROVIRUS, TUBERCULOSIS, or IRRITATION due to a woman's menstrual bleeding during sexual intercourse.
D.- Other authors associate it with antigens related to coagulation FACTOR VIII and propose the name MONDOR'S PHLEBITIS OF THE PENIS.
However, the most widely accepted cause remains MICROTRAUMA.
3.) PATHOPHYSIOLOGICALLY:
It describes an obstruction or inflammation of the superficial lymphatic vessels of the penis, which generates the palpable cord or thickening.
The diagnosis is clinical and must be differentiated from other causes of penile injuries, especially sexually transmitted infections (STDs).
4.) CLINICAL CHARACTERISTICS:
It classically presents as a linear swelling or inflammation in the form of a hard, thin cord, with minimal pain, which may partially or completely surround the glans penis, but is mainly located in the coronal sulcus, i.e., the balanopreputial sulcus.
The lesion is usually painless, but it can cause discomfort during sexual intercourse and erection. It is noticeable to the naked eye because the cord is translucent or whitish and mobile to the touch. Mild inflammation of the foreskin or glans may also occur; In some cases, erosion and ulcerations have occurred.
This disease primarily affects young men between 18 and 45 years of age, with a maximum age of 50. The lesion is benign and usually resolves spontaneously within several weeks, and more quickly if appropriate treatment is initiated.
5.) TREATMENT:
A.- Rest from sexual activity to avoid further trauma.
B.- Nonsteroidal anti-inflammatory drugs (NSAIDs) if there are symptoms of pain, or stronger corticosteroids to reduce inflammation for a short period of time.
C.- Local emollient creams and low-potency steroid creams.
D.- Explain the probable cause to the patient to reassure them; however, if there is an infection, diagnose the cause and treat it specifically.
6.) SUMMARY:
1.) It is not a venereal disease.
2.) It is not directly caused by sexually transmitted infections.
3.) It is a rare and benign disease, caused by local trauma in most cases.
4.) Sexually Transmitted Diseases (STDs) should be routinely ruled out.
The healing period ranges from 3 to 8 weeks.
Greetings to all...
Dr. José Lapenta.
Dr. José M. Lapenta.
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REFERENCIAS BIBLIOGRÁFICAS / BIBLIOGRAPHICAL REFERENCES
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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.
33.) Nonvenereal sclerosing lymphangitis of the penis.
34.)The so-called Hoffman's lymphangitis of the penis: is it a lymphangitis or a phlebitis?
35.) Sclerosing lymphangitis of penis - literature review and report of 2 cases.
36.) Sclerosing lymphangitis of the penis after coadministration of tadalafil and fluconazole.
37.) [Mondor's disease vs. sclerosing lymphangitis of the penis].
38.) Immunohistochemical clues to the diagnosis of Mondor's disease of the penis.
39.) [Non venereal sclerosing lymphangitis of the penis. Case report].
40.) Mondor's disease of the penis associated with primary syphilis.
41.) Mondor's disease of penis: a forgotten disease.
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.
33.) Nonvenereal sclerosing lymphangitis of the penis.
34.)The so-called Hoffman's lymphangitis of the penis: is it a lymphangitis or a phlebitis?
35.) Sclerosing lymphangitis of penis - literature review and report of 2 cases.
36.) Sclerosing lymphangitis of the penis after coadministration of tadalafil and fluconazole.
37.) [Mondor's disease vs. sclerosing lymphangitis of the penis].
38.) Immunohistochemical clues to the diagnosis of Mondor's disease of the penis.
39.) [Non venereal sclerosing lymphangitis of the penis. Case report].
40.) Mondor's disease of the penis associated with primary syphilis.
41.) Mondor's disease of penis: a forgotten disease.
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