Clin Diabetes
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lauder, N.
Right arrow Articles by Binienda, J.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Lauder, N.
Right arrow Articles by Binienda, J.
Social Bookmarking
Add to CiteULike   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Clinical Diabetes 23:191-192, 2005
© American Diabetes Association ®, Inc., 2005

Case Study

Case Study: Postsexual Penile Ulcer as a Symptom of Diabetes

Nehman Lauder, MD and Juliann Binienda, MA, LMFT

The first 20% of the full text of this article appears below.


   Presentation
 
D.H., a 50-year-old married man, presented for his first office visit complaining of a "male problem," which he described as a sore on his penis that had been present for 14 days. The patient's most recent sexual encounter was with his wife 2 weeks before the office visit. He denied any penile discharge but complained of constant pain in his "private part." He also denied dysuria, frequency, past sexually transmitted diseases, and extramarital sexual encounters. His wife had no vaginal or perineal symptoms.

The patient reported first noticing a "blister" on the glans penis, which ruptured several days after forming. The pain intensified when the blister broke. He described the pain intensity as mild to moderate with no radiation, "sharp and stinging," especially when washing himself and during sexual intercourse. He had not experienced nausea, fatigue, fever, or malaise.

The penile examination revealed an uncircumcised glans penis that was inflamed, erythematous, and tender. On the glans penis was a 0.5-cm, oval, erythematous-based ulceration with some crusting. There were no vesicles associated with the lesion. No penile discharge, scrotal tenderness, or scrotal abnormalities were noted.

Herpes simplex virus (HSV) and aerobic bacterial cultures of the lesion were conducted. A DNA probe for Chlamydia trachomatis and Neisseria gonorrhea were obtained. A complete blood diagnostic profile with rapid plasma reagin (RPR) . . . [Full Text of this Article]


   Questions
 

   Commentary
 

   Clinical Pearls
 

Add to CiteULike CiteULike   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Diabetes Diabetes Care Clinical Diabetes Diabetes Spectrum
Copyright © 2005 by the American Diabetes Association.