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September 1964

Penile Nodules as a Major Manifestation Of Subacute Angiitis

Author Affiliations


Arch Intern Med. 1964;114(3):449-452. doi:10.1001/archinte.1964.03860090183023

Introduction  Polyarteritis has been associated with a variety of cutaneous manifestations. These have included urticarial, bullous, infarctive, petechial, purpuric, plaque, and nodular lesions.1 In the periarteritic form of this disease, ie, the type affecting medium-sized muscular arteries, nodular skin lesions have been most frequently described. These lesions are characteristically evanescent, frequently pulsatile, pea sized, and may or may not be tender. They usually occur in crops and may be found along the course of an artery. These nodules are found in as many as 20% of the patients with periarteritis nodosa.2,3We have recently observed a patient with subacute small vessel angiitis whose unusual primary manifestation of illness has been the presence of multiple persistent nodules of his penis. Of additional interest in this case has been a relatively benign course over a five-year period.

Report of a Case 

History.  —A 33-year-old white male was first seen in

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