Penile and scrotal lesions in leprosy: case reports

1989 Leprosy Review  
Six leprosy patients in the Ridley-Jopling spectrum of BT -BL showing lesions on penis and scrotum are presented, as we believe that this common enough clinical fe ature is not well documented in the literature. Groin, perineum along with scalp, axilla and the narrow band oflumbosacral area are considered to be 'immune zones' in leprosy. To the best of our knowledge, clinical involvement of genitals in leprosy has not been well documented in the literature. We report six cases of leprosy,
more » ... s of leprosy, showing involvement of male external genitalia. Lesions on the external genitalia may be encountered in leprosy of all types in the entire Ridley-Jopling spectrum. It is however not known whether lesions due to indeterminate leprosy, representing the earliest clinical manifestation of the disease, can occur in these organs. Case reports We report six cases with leprosy lesions ranging from BT to BL types with clinical photographs (Figures I and 2) showing involvement of the penis and the scrotum. All six patients had borderline leprosy of more than 6 months duration. Three patients had lesions on glans penis. Two cases were in Type I lepra reaction. The slit-smear examination was positive in fo ur cases. Observations and conclusions It is known that My cobacterium leprae has a distinct predilection for the cooler areas of the body. Anish1 demonstrated higher temperature of the axilla and scalp as compared to that of the fo rearm . Sahni et aU studied 20 untreated BL and LL cases. They observed groin involvement clinically in five cases, skin-smear positivity in three, while all showed histological changes. Bedi et aP observed histological involvement of groin in 10 out of20 LL patients under monotherapy. Pandya 0305-7518/89/060303 +03 SO 1·00
doi:10.5935/0305-7518.19890039 fatcat:aggpqwpzzrayflfzivcefsi6r4