By Marco Cusini, Pompeo Donofrio, Giuseppe Micali, Franco Dinotta
Male genital problems characterize a standard factor in clinical perform, specially within the dermatological environment. right scientific evaluate of those problems is key while addressing the analysis, which often times could require histopathological affirmation.
Depending at the sickness, early prognosis should be not just lifesaving, but additionally of primary value to the making plans of profitable treatment.
This atlas introduces the most typical penile ailments, besides extra hardly ever encountered ones. It presents worthwhile suggestions on scientific analysis via highlighting trendy medical beneficial properties and offering specific videodermatoscopy findings while those are indicative of the prognosis. additionally, for every situation the main applicable remedy is proposed, taking into consideration fresh healing advances of confirmed benefit.
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Extra info for Atlas of Male Genital Disorders: A Useful Aid for Clinical Diagnosis
They are often harmless, but sometimes they may carry troublesome systemic infectious disorders. Ticks of the genus Ixodes (I. ricinus) are the main vectors of Lyme disease; Riphicephalus sanguineus is implicated in the genesis of rickettiosis. Epidemiology: tick infestations are more frequent in spring. Clinical appearance: they mostly affect covered skin areas, where the ticks attach to maintain their blood meal. Secondary bacterial skin infection, allergic reactions, and granuloma formation may ensue.
The use of azythromicin and doxycycline is recommended. Alternative treatments include tetracycline, trimethoprim-sulfamethoxazol, erythromycin, and ciprofloxacin. Although the skin ulcers will start to show signs of healing in about a week, the patient must take the full course of medication to minimize the possibility of relapse. Suggested Reading Bezerra SM, Jardim MM, Silva VB (2011) Granuloma inguinale (Donovanosis). An Bras Dermatol 86:585-6 O’Farrell N, Moi H, IUSTI/WHO European STD guidelines Editorial Board (2010) European guideline for the management of donovanosis, 2010.
Clinical appearance: the patient complains of itching in the pubic area. Physical examination reveals the presence of the insects and/or their nits attached to pubic hairs. Skin lesions resulting from scratching and maculae caeruleae from the insect bites may be found on the genital skin, and tiny blood spots may often be detected in the patient’s underwear. Clinical course: the disease starts in the pubic area but it can extend to other hair-rich sites such as trunk, axillae and lashes. In male patients it may also extend to the trunk.
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