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Erythema nodosum leprosum on glans penis: unusual manifestation of common disease
Author(s) -
Kothiwala Sunil Kumar,
Khandpur Sujay,
Singh Manoj Kumar,
Durgapal Prashant
Publication year - 2015
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/ijd.12772
Subject(s) - medicine , dermatology , glans penis , erythema nodosum , penis , disease , pathology , surgery
Background Erythema nodosum leprosum ( ENL ) classically presents as tender evanescent skin nodules involving extremities, trunk, and face but may appear at any site. Mucosal involvement in ENL is uncommon, and its occurrence over glans is extremely rare. Method We describe two interesting cases of ENL involving the glans penis and prepuce with different presentations. Result The first case had lepromatous leprosy with ENL with involvement of the glans penis in the form of a painful ulcer with necrotic slough. The second case had borderline lepromatous leprosy with ENL with involvement of glans in the form of a single painful nodule. Histopathology showed features of ENL , and Ziehl‐Neelsen staining showed numerous acid fast bacilli. Conclusion We should be aware of genital involvement of ENL , which is a rare presentation and needs to be differentiated from other conditions requiring a different management approach.