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December 1962

Nonvenereal Sclerosing Lymphangitis of Penis

Author Affiliations


Arch Dermatol. 1962;86(6):761-763. doi:10.1001/archderm.1962.01590120059010

It is an honor to address the Pacific Dermatologic Society as its President. This address is factual, rather than philosophical and presents material which we hope is unfamiliar to most of you.

Most men worry about any unexplained lesion appearing in the region of their genitalia, particularly the penis. The sudden appearance therefore (Fig. 1) of a firm, curved, wormlike, translucent lesion, having the diameter of a normal vas deferens, almost encircling the penis, is apt to cause concern.

The original description by Hoffman1 referred to this as "Simulation of primary syphilis by gonorrheal lymphangitis (gonorrheal pseudo chancre)." Later the same author2 referred to this as "Non venereal plastic lymphangitis of the coronary sulcus of the penis with circumscribed edema." The nonvenereal nature of this condition has been adhered to in subsequent reports.3,4 Descriptively these have been referred to as "circular lymphangitis of the coronary sulcus,"