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In connection with chancroid attention is called to this venereal infection, which while rare is important, because of its destructive course, if unrecognized and treated as chancroid.
Balanitis gangrenosa begins as small whitish patches of superficial ulceration which are situated either in the coronary sulcus or on adjacent parts of the glans or prepuce. These excoriations increase in size and produce superficial, small, round ulcers which from coalescence form larger circinate ulcers. These ulcers are covered by a closely adherent necrotic pellicle, and are surrounded by an inflammatory border. The base of the ulcer bleeds readily when the pellicle is detached. The disease invariably occurs under a long prepuce, and when the process becomes well established the prepuce becomes edematous and phimosis usually occurs. There is a free discharge of very offensive thin, yellowish or brownish pus. This superficial form of the disease may get well spontaneously or as the
THE VENEREAL DISEASES: BALANITIS GANGRENOSA EROSIVE OR GANGRENOUS BALANITIS. JAMA. 1917;LXIX(13):1080–1081. doi:10.1001/jama.1917.25910400005014c
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