• Internal medicine · Mar 2022

    Review Case Reports

    Aseptic Cavernosal Abscess: An Unrecognized Feature of Neutrophilic Dermatosis.

    • Yu Akagi, Yuri Yamagiwa, Harumi Shirai, Takeshi Suzuki, Ibuki Tsuru, Akira Ishikawa, Naoki Akiyama, Mizuki Ogura, Kanae Kobayashi, Yuan Bae, Yamato Suemitsu, Sumihisa Imakado, Momoko Mawatari, and Akihiro Ueda.
    • Department of Infectious Diseases, Japanese Red Cross Medical Center, Japan.
    • Intern. Med. 2022 Mar 15; 61 (6): 917-921.

    AbstractA 50-year-old man developed a sterile cavernosal abscess followed by prominent features of necrotizing neutrophilic dermatosis. We conducted a literature review, which revealed that aseptic abscesses in the corpus cavernosum occur in association with neutrophilic dermatosis. Patients with this condition frequently receive unnecessary antibiotic treatment and surgical interventions. Although this condition responds to systemic corticosteroids, the functional prognosis of the penis is poor. Abscess formation may be the initial presentation of neutrophilic dermatoses, and underlying conditions may even be absent. Clinicians need to be aware of this condition to distinguish it from bacterial infection and initiate early disease-specific treatments.

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