[Sclerosing lipogranuloma of male genitalia (author's transl)]

The term "sclerosing lipogranuloma" was coined in 1950 to name a peculiar granulomatous fatty tissue reaction that according to Smetana and Bernhard represents a "local reactive process which sometimes follows injury to subcutaneous fat tissue". Later other investigators have pointed out that injections of exogenous lipids probably cause this lesion. A case of sclerosing lipogranuloma in the scrotum is presented, in which paraffin hydrocarbon could be identified. As prior to the appearance of the lipogranuloma a paraffin containing ointment had been applied locally for three weeks a percutaneous resorption of paraffin as a possible etiology is discussed together with a review of the literature.