Atlas of Male Genital Disorders: A Useful Aid for Clinical Diagnosis

182 Pages·2013·9.01 MB·English

by  Giuseppe Micali

Atlas of Male Genital Disorders
Giuseppe Micali • Marco Cusini •
Pompeo Donofrio • Franco Dinotta
Atlas of Male
Genital Disorders
A Useful Aid for Clinical Diagnosis
123
Giuseppe MicaliDermatology Unit, Dipartimento di Specialità Medico-Chirurgiche, AOU “Policlinico-Vittorio
Emanuele”, Presidio “G. Rodolico”, Catania, Italy
Marco Cusini Center for Sexually Transmitted Diseases, Dermatology Unit, Dipartimento di Anestesiologia,
Terapia Intensiva e Scienze Dermatologiche, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico,
Milan, Italy
Pompeo Donofrio School of Dermatology and Venereology, “Federico II” University of Naples, Naples, Italy
Franco DinottaCenter for Sexually Transmitted Diseases, Dermatology Unit, Dipartimento di Specialità Medico-
Chirurgiche, AOU “Policlinico-Vittorio Emanuele”, Presidio “G. Rodolico”, Catania, Italy
ISBN 978-88-470-2786-2 ISBN 978-88-470-2787-9(eBook)
DOI 10.1007/978-88-470-2787-9
Springer Milan Dordrecht Heidelberg London New York
Library of Congress Control Number: 2012951967
© Springer-Verlag Italia 2013
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned,
specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in
any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by si-
milar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in
connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on
a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted
only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must al-
ways be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center.
Violations are liable to prosecution under the respective Copyright Law.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even
in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefo-
re free for general use.
While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors
nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher
makes no warranty, express or implied, with respect to the material contained herein.
9 8 7 6 5 4 3 2 1 2012 2013 2014 2015
Cover design:Ikona S.r.l., Milan, Italy
Typesetting: Ikona S.r.l., Milan, Italy
Springer-Verlag Italia S.r.l., Via Decembrio 28, I-20137 Milan
Springer is a part of Springer Science+Business Media (www.springer.com)
Preface
Male genital disorders encompass many aspects of gender medicine, includ-
ing sexually transmitted infections and penile cancer. Since its inception as a
specialty, dermatology has focused so prominently on genital disorders that
many dermatology societies and units bear the names “dermatovenereology”
or “dermatology and venereology”. Professors Giuseppe Micali (Catania),
Marco Cusini (Milan), Pompeo Donofrio (Naples), and Franco Dinotta
(Catania) are well suited to act as learned authorities on genital disorders, as
is clear from this skillfully crafted and extraordinarily useful compendium, the
Atlas of Male Genital Disorders. All four of these distinguished physician-sci-
entists have worked on genital disorders for many years. Each has actively par-
ticipated in many scientific meetings on the subject and published papers in
national and international journals. They run dedicated clinics on genital dis-
orders at the Departments of Dermatology of the Universities of Milan,
Naples, and Catania. The clinic in Catania is headed by the esteemed
Professor Giuseppe Micali, an internationally acclaimed authority on penile
lichen planus, penile cancer, and much more.
The editors and authors of this stellar work well deserve accolades as they
have advanced and disseminated knowledge in this vital area of gender med-
icine. This erudite book merits the attention of practicing physicians world-
wide, who will without doubt benefit from reading it.
October 2012 Robert A. Schwartz
V
Contents
1 Anatomy of Male Genitalia............................................................. 1
Franco Dinotta, Maria Rita Nasca, and Giuseppe Micali
2 Infections.......................................................................................... 5
Marco Cusini, Stefano Ramoni, Salvatore Ferraro,
and Franco Dinotta
Viral Infections
Genital Warts............................................................................. 6
Molluscum Contagiosum........................................................... 10
Herpes Simplex.......................................................................... 12
Herpes Zoster............................................................................. 14
Bacterial Infections
Erythrasma................................................................................. 16
Acute Bacterial Balanoposthitis................................................ 18
Fournier’s Gangrene.................................................................. 20
Fungal Infections
Candidiasis................................................................................. 22
Tinea Cruris............................................................................... 24
3 Infestations....................................................................................... 27
Marco Cusini, Francesco Lacarrubba, Stefano Ramoni,
and Franco Dinotta
Pubic Lice.......................................................................................... 28
Scabies ............................................................................................ 30
Larva Migrans.................................................................................... 32
Tick Bites........................................................................................... 34
4 Sexually Transmitted Diseases........................................................ 37
Franco Dinotta, Stefano Ramoni, Pompeo Donofrio, and Marco Cusini
Syphilis ......................................................................................................... 38
VII
VIII Contents
Granuloma Inguinale......................................................................... 41
Lymphogranuloma Venereum............................................................ 42
Chancroid........................................................................................... 44
Gonorrhea.......................................................................................... 46
Nongonococcal Urethritis.................................................................. 48
5 Inflammatory Disorders.................................................................. 51
Maria Rita Nasca, Francesco Lacarrubba, Maria Letizia Musumeci,
and Giuseppe Micali
Eczematous Disorders
Contact Dermatitis (Irritant/Allergic)........................................ 52
Atopic Dermatitis....................................................................... 54
Seborrheic Dermatitis................................................................ 56
Lichen Simplex (Neurodermatitis)............................................ 58
Erythemato-Squamous and Papular Disorders
Psoriasis..................................................................................... 60
Pityriasis Rosea (Gibert)............................................................ 62
Circinate Reactive Balanitis (Reiter’s Disease)......................... 64
Lichen Planus............................................................................. 66
Pyogenic Granuloma................................................................. 68
Sclerosing Lymphangitis........................................................... 70
Hidradenitis Suppurativa (Verneuil’s Disease).......................... 72
Vescico-Bullous Disorders
Erythema Multiforme................................................................ 74
Fixed Drug Eruption.................................................................. 76
Pemphigus Vulgaris................................................................... 78
Dermatitis Herpetiformis (Dühring’s Disease).......................... 80
Bullous Pemphigoid................................................................... 82
Hailey-Hailey Disease............................................................... 84
Ulcerative and Granulomatous Disorders
Aphthous Ulcers........................................................................ 86
Behçet’s Disease........................................................................ 88
Pyoderma Gangrenosum............................................................ 90
Crohn’s Disease......................................................................... 91
Other Inflammatory Disorders
Lichen Sclerosus........................................................................ 92
Plasma Cell Balanitis (Zoon)..................................................... 94
Angioedema............................................................................... 96
6 Pigmentation Disorders................................................................... 99
Pompeo Donofrio, Paola Donofrio, Maria Grazia Francia,
and Giuseppe Micali
Vitiligo...............................................................................................100
Acanthosis Nigricans.........................................................................102
Contents IX
Melanosis...........................................................................................104
Melanocytic Nevi...............................................................................106
7 Benign Neoplastic Disorders...........................................................109
Pompeo Donofrio, Paola Donofrio, Piera Catalfo,
and Giuseppe Micali
Soft Tissue Tumors
Pearly Penile Papules.................................................................110
Fibroepithelial Polyp.................................................................112
Angiokeratoma..........................................................................114
Lymphangiomas.........................................................................116
Epithelial Tumors
Seborrheic Keratosis..................................................................118
Penile Horn................................................................................120
Pseudoepitheliomatous Keratotic and Micaceous Balanitis......122
Leukoplakia...............................................................................124
8 Malignant Neoplastic Disorders.....................................................127
Giuseppe Micali, Francesco Lacarrubba, Philip J. Cohen,
and Robert A. Schwartz
Soft Tissue Tumors
Kaposi’s Sarcoma......................................................................128
Angiosarcoma............................................................................130
Epithelial Tumors
In Situ Carcinomas....................................................................132
Extramammary Paget’s Disease .........................................132
Bowenoid Papulosis............................................................134
Erythroplasia of Queyrat.....................................................136
Bowen’s Disease.................................................................138
Invasive Carcinomas.................................................................140
Basal Cell Carcinoma.........................................................140
Squamous Cell Carcinoma .................................................142
Verrucous Carcinoma..........................................................146
Melanocytic Tumors
Melanoma..................................................................................148
Other Tumors
Cutaneous Metastatic Disease...................................................150
9 Dysembrioplastic Disorders............................................................153
Pompeo Donofrio, Paola Donofrio, Maria Grazia Francia,
and Maria Rita Nasca
Fordyce’s Spots..................................................................................154
Sebaceous Hyperplasia......................................................................156
X Contents
Median Raphe Cysts..........................................................................158
Epidermoid Cysts..............................................................................160
Hypospadia........................................................................................162
10 Miscellaneous Disorders..................................................................165
Marco Cusini, Stefano Ramoni, Anna Elisa Verzì,
and Franco Dinotta
Phimosis (Acquired)..........................................................................166
Paraphimosis......................................................................................168
Synechiae...........................................................................................170
Phlebectasia ......................................................................................172
Induratio Penis Plastica ....................................................................174
Traumatic and Self-Induced Lesions ................................................176
Tattoos................................................................................................178
Smegmoliths......................................................................................180
Contributors
Piera Catalfo Dermatology Unit, AOU “Policlinico-Vittorio Emanuele”,
Presidio “G. Rodolico”, Catania, Italy
Philip J. CohenDepartment of Dermatology, UMDNJ - New Jersey Medical
School, Newark, NJ, USA
Marco Cusini Center for Sexually Transmitted Diseases, Dermatology Unit,
Dipartimento di Anestesiologia, Terapia Intensiva e Scienze Dermatologiche,
Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
Franco DinottaCenter for Sexually Transmitted Diseases, Dermatology Unit,
Dipartimento di Specialità Medico-Chirurgiche, AOU “Policlinico-Vittorio
Emanuele”, Presidio “G. Rodolico”, Catania, Italy
Paola Donofrio Dermatology and Venereology, “Federico II” University of
Naples, Naples, Italy
Pompeo Donofrio School of Dermatology and Venereology, “Federico II”
University of Naples, Naples, Italy
Salvatore Ferraro Dermatology Unit, AOU “Policlinico-Vittorio Emanuele”,
Presidio “G. Rodolico”, Catania, Italy
Maria Grazia Francia Dermatology and Venereology, “Federico II”
University of Naples, Naples, Italy
Francesco Lacarrubba Dermatology Unit, AOU “Policlinico-Vittorio
Emanuele”, Presidio “G. Rodolico”, Catania, Italy
Giuseppe Micali Dermatology Unit, Dipartimento di Specialità Medico-
Chirurgiche, AOU “Policlinico-Vittorio Emanuele”, Presidio “G. Rodolico”,
Catania, Italy
Maria Letizia Musumeci Dermatology Unit, AOU “Policlinico-Vittorio
Emanuele”, Presidio “G. Rodolico”, Catania, Italy
XI
XII Contributors
Maria Rita Nasca Dermatology Unit, AOU “Policlinico-Vittorio Emanuele”,
Presidio “G. Rodolico”, Catania, Italy
Stefano Ramoni Center for Sexually Transmitted Diseases, Dermatology Unit,
Dipartimento di Anestesiologia, Terapia Intensiva e Scienze Dermatologiche,
Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
Robert A. Schwartz Department of Dermatology, UMDNJ - New Jersey
Medical School, Newark, NJ, USA
Anna Elisa Verzì Dermatology Unit, AOU “Policlinico-Vittorio Emanuele”,
Presidio “G. Rodolico”, Catania, Italy