Department of Infectious Diseases, Japanese Red Cross Medical Center, Japan.
Department of Allergology and Rheumatology, Japanese Red Cross Medical Center, Japan.
Intern Med. 2022 Mar 15;61(6):917-921. doi: 10.2169/internalmedicine.7994-21. Epub 2021 Sep 4.
A 50-year-old man developed a sterile cavernosal abscess followed by prominent features of necrotizing neutrophilic dermatosis. We conducted a literature review, which revealed that aseptic abscesses in the corpus cavernosum occur in association with neutrophilic dermatosis. Patients with this condition frequently receive unnecessary antibiotic treatment and surgical interventions. Although this condition responds to systemic corticosteroids, the functional prognosis of the penis is poor. Abscess formation may be the initial presentation of neutrophilic dermatoses, and underlying conditions may even be absent. Clinicians need to be aware of this condition to distinguish it from bacterial infection and initiate early disease-specific treatments.
一位 50 岁男性出现无菌性海绵体脓肿，随后出现坏死性嗜中性皮病的显著特征。我们进行了文献回顾，结果显示，中性粒细胞性皮肤病常伴有海绵体无菌性脓肿。此类患者常接受不必要的抗生素治疗和手术干预。尽管该病症对全身皮质类固醇有反应，但阴茎的功能预后较差。脓肿形成可能是中性粒细胞皮肤病的初始表现，甚至可能没有潜在疾病。临床医生需要意识到这种情况，将其与细菌感染区分开来，并尽早进行针对疾病的治疗。
