RESUMO
A crew member had a foreign body implanted subcutaneously on his dorsum penis stealthily 6 years earlier by a fellow crew member without any medical training. He presented to the ship's medical centre after a week of pain, erythema and oedema over the foreign body, which was eventually removed by the patient, leaving behind a penile ulceration. He was treated conservatively initially with intravenous and then with oral antibiotics until complete secondary wound closure was achieved.
Assuntos
Modificação Corporal não Terapêutica/efeitos adversos , Reação a Corpo Estranho/etiologia , Doenças do Pênis/etiologia , Úlcera/etiologia , Adulto , Modificação Corporal não Terapêutica/instrumentação , Reação a Corpo Estranho/diagnóstico , Reação a Corpo Estranho/etnologia , Humanos , Masculino , Medicina Naval , Doenças do Pênis/diagnóstico , Doenças do Pênis/etnologia , Filipinas/etnologia , Úlcera/diagnóstico , Úlcera/etnologiaRESUMO
Kaposi sarcoma characteristically presents with violaceous papules, plaques, or nodules due to the vascular nature of the lesions. We present the case of a human immunodeficiency virus (HIV)-positive black man with yellow-green penile plaques. Biopsy results revealed leukoedema and slitlike vascular spaces. Immunohistochemistry was positive for CD31 and CD34. He was treated with highly active antiretroviral therapy (HAART) and the penile plaques improved. Localized yellow-green penile plaques are an uncommon presentation of the well-known clinical entity, Kaposi sarcoma. This case underscores the varied clinical presentations that can occur in skin of color and the importance of histopathology in the assessment of uncharacteristic clinical presentations, especially in immunosuppressed patients.
