Abstract Number: 56

Genital emergencies

T. Rosen

Meeting: 2012 Dermcoll

Session Information

Date: -

Session Title: Medical Dermatology Update 2

Session Time: -

Dermatologists may be called upon to make critical diagnoses of disease states occurring on genital skin. Failure to make a timely diagnosis may lead to a delay in instituting appropriate therapy. In turn, the latter may lead to morbidity and even mortality. One such example is infection of genital skin by a member of the normal human oral fl ora (Eikenella corrodens) following accidental or deliberate genital bite wounds. Another true emergency is the polymicrobial synergistic necrotizing fasciitis of genital skin known as Fournier’s Gangrene. Dry eschar formation may be due to calciphylaxis or to thromboembolic events. Penile strangulation occurs when an inanimate object (such as a ring) gets “stuck” at the base of the penis, leading to sequential occlusion of the venous, lymphatic and arterial channels. Penile strangulation may lead to death due to ascending infection in the GU tract and, ultimately, to sepsis. While all are relatively rare, the appearance of one or more hard nodules on genital skin may herald the onset of sarcoma, lymphoma or metastases. These generally carry a poor prognosis and require urgent intervention.