Coronary lymphangitis non-venereal N48.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 17.09.2023

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Synonym(s)

Circular indurated lymphangitis; Coronary Artery Phlebitis; Lymphangiectasia transient of the penis; Lymphangiectasis penis; Lymphangitis indurated circular; Lymphangitis of the penis non-venereal sclerosing; Lymphangitis of the sulcus coronarius non-venereal plastic; Lymphocele; Mondor disease of the penis; Non-venereal coronary lymphangitiss; Non-venereal plastic lymphangitis of the sulcus coronarius; Non-venereal sclerosing lymphangitis of the penis; Temporary lymphangiectasia of the penis

History
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Hoffmann 1923

Definition
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Mostly after forced sexual intercourse, within 5-7 days, a bland lymphangitis (probably stranded phlebitis) proximal to the glans penis.

Etiopathogenesis
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Forced sexual intercourse, Chlamydia urethritis, focal infections, chronic prostatitis

Manifestation
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Men in their second or third decade of life.

Clinical features
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Acutely developing, often transverse to the longitudinal axis of the penis and proximal to the glans penis, bulbous, relatively coarse, 1-2 cm long, translucent strand formation below the inner preputial leaf. No significant complaints.

Differential diagnosis
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Lymphangitis with syphilitic primary effect: generally running according to the longitudinal axis of the penis shaft

Induratio penis plastica: nodular, hard (chronic) indurations in the depth of the penis shaft

Cordiform lichen sclerosus et atrophicans: indurated whitish cord, often transverse. Not bulging raised. Histological clarification.

Therapy
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Not necessary, as spontaneous healing within a few weeks, possibly non-steroidal anti-inflammatory drugs such as ibuprofen (e.g. Ibuprofen Heumann 400-600 mg/day).

Progression/forecast
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Spontaneous regression in a few weeks. Complications are not known.

Literature
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  1. Kumar B et al (2005) Mondor's disease of penis: a forgotten disease. Sex Transm Infect 81:480-482.
  2. Sieunarine K (1987). Non-venereal sclerosing lymphangitis of the penis associated with masturbation. Br J Urol 59:194-195.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 17.09.2023