Lymphogranulomatous syndromes of the female external genitalia have been well studied and classified by different authors. Simple chronic ulcers of the vulva, anterior genital elephantiasis (labia majora), with or without ulcerations, and the complex denominated esthiomene, with or without anorectal complications, constitute the best known forms of the disease.
For some years we have had the opportunity of examining and following the evolution of one or another of the aforementioned manifestations in prostitutes. Among these women we have observed a special form of elephantiasis, which affects principally the covering of the clitoris and which we have designated "peniform hypertrophy of the praeputium clitoridis," owing to the aspect that this manifestation presents in its most advanced stages.
This syndrome is not common; in only 5 of 66 women (7.5 per cent) presenting elephantiasis vulvae of a lymphogranulomatous nature have we been able to establish its presence and find different stages of
COUTTS WE, MONETTA O. PENIFORM ELEPHANTIASIS OF THE PRAEPUTIUM CLITORIDIS IN LYMPHOGRANULOMA VENEREUM. Arch Derm Syphilol. 1940;42(3):438–440. doi:https://doi.org/10.1001/archderm.1940.01490150042006
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