Penis glans rubber swelling

Introduction Penile scrotum elephantiasis is the most prominent manifestation of advanced filariasis, mostly caused by the filariasis. Due to inflammation, obstruction, and rupture of lymphatic vessels, skin and subcutaneous tissue proliferate and become thick and form a skin swelling. When secondary streptococcal infection occurs, the lesion can be further aggravated. There will be abnormalities such as penis, glans congestion, edema, etc. Foreskin is completely preventable, usually pay attention to develop good hygiene habits, for the foreskin is too long, phimosis (the foreskin can not be flipped) circumcision, etc., have a good preventive effect.

Cause

The cause of penile glans rubbery:

Soft chancre, dermatitis and so on.

an examination

Related inspection

Treponema pallidum antibody syphilis USR test

Laboratory inspection:

A venous blood test after falling asleep can find microfilaria, which will help diagnose. Blood eosinophils increase by more than 5%. Microfilariae can also be found in hydrocele, in the colitis of the sheath, or in the urine.

Pathological biopsy revealed extensive infiltration of filarial and eosinophils and formation of eosinophilic granuloma.

Differential diagnosis

1. Acute idiopathic scrotal edema: an allergic disease unrelated to trauma or infection. The scrotum is obviously swollen and even spreads to the foreskin, groin or perineum. At the same time, because most patients test blood eosinophilia, it is very similar to the scrotum elephantia. However, this disease has no history of recurrent scrotal cellulitis or lymphangitis, often suddenly onset, swelling of the scrotum skin temperature is higher, soft, skin color due to high swelling and bright, such as large blisters. There is no swelling in the inguinal lymph nodes.

2. Idiopathic scrotum gangrene: is a very serious and rare scrotal infectious disease. Early manifestations of scrotal edema, skin color redness, shiny, may be associated with scrotal swelling, chills, high fever and other symptoms. Clinically similar to the acute manifestation of scrotal elephant skin swelling. However, the onset of the disease is sharp, often awakened by sleep due to severe pain in the scrotum. The swollen scrotum skin is moist, and gradually turns into purple-black and necrotic, and even the necrotic tissue falls off, leaving the testicles and spermatic cords exposed. Therefore, the two are easy to identify, especially in the later stages of the disease.

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