Pyogenic granuloma of the penis--don't squeeze them

Abstract

We report the case of a pyogenic granuloma on the shaft of the penis presenting with active bleeding secondary to attempted expression. Previously reported cases have documented such lesions on the prepuce and glans. (Sex Transm Inf 2000;76:217)

Pyogenic granuloma of the penis following chancre

“…5 Our observation is also different from mechanic's hands during antisynthetase syndrome. 6 Our observation also suggests that [(18)F]FDG-PET/CT is useful in the diagnosis of polymyositis/DM when whole MRI failed in demonstrating myositis. 7 The utility of LDH in normal creatine kinase dermatomyositis has also to be noted.…”

“…If local therapy fails, systemic therapy with oral prednisone, minocycline, allopurinol, colchicines or cyclosporine may be considered. 5,6 The first of our two patients experienced complete resolution of his granulomas under treatment with occlusive clobetasol propionate ointment BID for 2 weeks. Our second patient, on the other hand, had to undergo several courses of intralesional injections with crystalline triamcinolone acetonide to achieve improvement.…”

“…1,2 Differential diagnosis of PG includes mainly condylomata acuminata, angiokeratoma, Kaposi sarcoma, Spitz naevus, verrucous carcinoma, squamous cell carcinoma, Bowen disease, spindle cell tumours, bacillary angiomatosis and donovanosis. [3][4][5] Out of the 11 cases of penile PGs reported in the literature, only five have been reported as trauma related, three were seen after circumcision, 3,6,7 one as complication of papaverine injection therapy for impotence 8 and one after balano preputial adhesions lysis. 9 Our patient developed PG 1 year after he was successfully treated for primary syphilis.…”

A case of Pyogenic Granuloma at an unusual location

“…A literature scan revealed a few cases of Pyogenic granuloma involving the shaft of penis [6] andprepuce of glans penis [7][8][9]. Literature search (using Medline) has revealed no previous reports of Pyogenic granuloma involving the meatus of glans penis.…”

“…The lesion was soft in consistency and non tender, with minimal bleeding. A differential diagnosis of Pyogenic Granuloma, Cherry angioma, Urethral caruncle Angiokeratoma, genital wart and Pyoderma gangrenosum [6] was considered. Because of its small size, an excisional biopsy was done and submitted for histological examination.…”