A Case of Penile Pyoderma Gangrenosum Treated with Steroid Administration without Penectomy
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- Takahashi Shuhei
- The Department of Urology, Akita University Graduate School of Medicine
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- Numakura Kazuyuki
- The Department of Urology, Akita University Graduate School of Medicine
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- Kubo Kyouhei
- The Department of Urology, Akita University Graduate School of Medicine
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- Matsuda Yosinori
- The Department of Urology, Akita University Graduate School of Medicine
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- Yamamoto Ryohei
- The Department of Urology, Akita University Graduate School of Medicine
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- Honma Naoko
- The Department of Urology, Akita University Graduate School of Medicine
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- Nara Taketoshi
- The Department of Urology, Akita University Graduate School of Medicine
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- Kanda Sohei
- The Department of Urology, Akita University Graduate School of Medicine
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- Saito Mitsuru
- The Department of Urology, Akita University Graduate School of Medicine
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- Narita Shintaro
- The Department of Urology, Akita University Graduate School of Medicine
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- Inoue Takamitsu
- The Department of Urology, Akita University Graduate School of Medicine
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- Satoh Shigeru
- The Center for Kidney Disease and Transplantation, Akita University Hospital
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- Habuchi Tomonori
- The Department of Urology, Akita University Graduate School of Medicine
Bibliographic Information
- Other Title
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- ステロイド投与により陰茎切断を回避できた陰茎壊疽性膿皮症の1例
- ステロイド トウヨ ニ ヨリ イン ケイ セツダン オ カイヒ デキタ イン ケイ エソセイ ノウ ヒショウ ノ 1レイ
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Abstract
We report a case of idiopathic penile pyoderma gangrenosum that was successfully treated with corticosteroid treatment without penectomy. A 67-year-o1d man with induration and tenderness of the penile shaft visited a local hospital. A penile abscess was suspected on magnetic resonance imaging, and needle biopsy did not reveal malignancy. After the tension of the penile shaft had worsened, he was referred to our hospital where surgical drainage and re-biopsy were performed. Microbiological cultures revealed no growth, and pathological examination revealed no evidence of malignancy. Despite drainage, the abscess recurred on postoperative day 18. With a working diagnosis of penile pyoderma gangrenosum, we initiated prednisolone 30 mg once daily followed by taper and performed a second surgical drainage, leaving the wound open to heal by secondary intention. Wound discharge declined gradually, and no recurrence of abscess has yet been observed. Pyoderma gangrenosum is clinically diagnosed when subcutaneous chronic inflammatory findings are present without concurrent bacterial infection. Corpus cavernosum abscess presenting as the initial symptom of pyoderma gangrenosum is rare. Most cases of recurrent corpus cavernosum abscess eventually result in total penectomy. In this case, we successfully avoided penectomy by suspecting pyoderma gangrenous and initiating prednisolone treatment appropriately.
Journal
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- 泌尿器科紀要
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泌尿器科紀要 65 (6), 219-222, 2019-06-30
泌尿器科紀要刊行会
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Details 詳細情報について
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- CRID
- 1390009224847426176
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- NII Article ID
- 120006719330
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- NII Book ID
- AN00208315
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- HANDLE
- 2433/243919
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- NDL BIB ID
- 029766523
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- ISSN
- 00181994
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- Text Lang
- ja
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- Data Source
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- JaLC
- IRDB
- NDL
- CiNii Articles
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- Abstract License Flag
- Allowed