Human Papillomavirus by Alberto Rosenblatt & Homero Gustavo Campos Guidi

Author:Alberto Rosenblatt & Homero Gustavo Campos Guidi
Language: eng
Format: epub
Publisher: Springer Berlin Heidelberg, Berlin, Heidelberg

5.7.1 Clinical Manifestations

5.7.1.1 Symptoms

Asymptomatic at early stages

Recurrent inflammatory symptoms (balanitis)

Pruritus

Glans penis hypoesthesia

Dyspareunia

Dysuria

Urethritis and voiding problems because of meatal stenosis

Difficulty or inability to retract the foreskin in uncircumcised individuals

5.7.1.2 Presentation

Single or multiple erythematous papules or macules usually affecting the glans penis and foreskin at the early stages of the disease (Fig. 5.20a, b); in a study performed by Depasquale et al. (2000), LS was found limited to the foreskin and glans in 57% of patients. The perianal region is not affected in male individuals.

Fig. 5.20(a) Lichen sclerosus – multiple erythematous papules or macules at the glans penis. (b) Lichen sclerosus – erythematous papules or macules at the glans penis

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