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Pyoderma gangrenosum of the penis
Justin Loloi1, Susan M MacDonald
1Department of Urology, Montefiore Medical Center, Bronx, New York, USA.
The Canadian Journal of Urology
|February 24, 2021
Summary
Pyoderma gangrenosum (PG) is a rare inflammatory skin condition causing painful ulcers. This case details a unique penile PG presentation and successful treatment with steroids and methotrexate.
Area of Science:
- Dermatology
- Urology
Background:
- Pyoderma gangrenosum (PG) is a rare inflammatory skin disorder.
- Isolated penile PG is exceptionally uncommon, with few reported cases.
Observation:
- A 71-year-old man presented with a nonhealing, destructive penile ulcer.
- Extensive workup was required to establish the diagnosis of PG.
Findings:
- The patient's penile ulceration was diagnosed as pyoderma gangrenosum.
- Systemic steroids and methotrexate effectively halted disease progression.
Implications:
- Early recognition of penile PG is crucial for managing this potentially devastating condition.
- This case underscores the importance of considering PG in nonhealing penile ulcers.
- Effective management strategies include systemic corticosteroids and immunosuppressants like methotrexate.
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