A 44-year-old man came to the hospital with a 2-day history of tingling and weakness in the left leg. He had been seen 2 years previously for intermittent tingling and numbness in the hands, and a detailed workup indicated ulnar and median nerve entrapments at the elbow and wrist, respectively, that were treated conservatively. Two months before the current episode, he developed tingling in the right leg with some weakness that improved spontaneously. His medical history was significant for foot drop as a child. He had to use crutches for that, which produced muscle atrophy in his hands and pectorals, which eventually improved. He was on paroxetine for depression. Social history was significant for smoking a pack of cigarettes per day. He used to drink alcohol, but he quit 2 years ago.The patient had no abnormalities on general examination. Speech and mentation were normal. Cranial nerves were normal. Motor examination revealed mild interosseous weakness in both hands. There was moderate weakness on right foot dorsiflexion and eversion. In the left lower extremity, he had weakness in the hip abductors, ankle dorsiflexors, and toe extensors. Reflexes were 3+ in both upper extremity and knees and 2+ at the ankles. Sensory examination revealed decreased pain sensation in a stocking and glove distribution, decreased pain and hypoesthesia in the left common peroneal nerve distribution, and bilateral decrease in vibration sensation at the toes. There was thickening of the ulnar nerves.Cerebellar examinations were normal.
Background: Non venereological diseases of genitalia can be a diagnostic dilemma to a dermatologist and also a cause of considerable concern to the patient because they tend to get misdiagnosed with venereal diseases. Aims: To study the pattern and clinico-epidemiological profile of non-venereal dermatoses of male genitalia in Hadoti region of Rajasthan. Materials and Methods: We conducted this prospective, descriptive study in 250 male patients with non venereal dermatoses in Rajasthan from January 2015 to July 2016. The demographic profile and clinical findings of the patients were recorded and appropriate investigations and histopathological examination were done as and when required. Cases having venereal diseases were excluded from the study by clinical examination, serological and microbiological tests for venereal diseases. Results: The age of the patients ranged between one to 70 years, with mean age being 27.1 years. The most common dermatosis was nodular scabies 54 (21.6%) followed by sebocystoma multiplex 24 (9.6%), fixed drug eruption 19 (7.6%), tinea genitalis 17 (6.8%) and genital psoriasis 14 (5.6%) cases. Conclusion: This study highlights the importance of diagnosing non-venereal dermatoses for both correct treatment of the patient as well as to alleviate the anxiety associated with venereophobia and cancer phobia.
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