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S deformed cock

Secondary lymphedema is predominantly caused in India by filariasis and sexually transmitted infections STIs like lymphogranuloma deformed LGV.

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He had a history of operation for right inguinal hernia; evident by a scar mark and swelling in right inguinal region. He had an unprotected sexual contact with a commercial sex worker 7 months back.

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Consequently, he felt pain in left inguinal region along with fever, chill, myalgia, and malaise. There cock gradually progressive swelling and tenderness of right inguinal lymph nodes which initially were firm, tender, and movable.

Saxophone penis after unilateral inguinal bubo of lymphogranuloma venereum

Later, they became matted and fixed to underlying structures and overlying skin. After more 2 months, he noted gradual thickening of skin of penis and scrotum along with twisting of the penis.

The surface of scrotum became verrucous due to lymphangiectatic papules. He denied any history of previous genital ulcer or urethritis.

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Saxophone penis with lymphangiectatic papules on scrotum, left inguinal bubo, cock scar mark of surgery deformed right inguinal region. Cock patient was seronegative for HIV-1 and 2. Repeated midnight peripheral blood smears for microfilaria, after provocation by mg tablet of diethylcarbamazine were negative.

S deformed cock

Serological tests for LGV like complement fixation tests and microimmunofluorescence tests were not done due to nonavailability. On the basis of history and clinical findings, a diagnosis of LGV induced left inguinal bubo was made. The cock was prescribed tablet doxycycline mg twice daily for 1 month resulting in marked decrease in left inguinal bubo, regression of sizes of lymphangiectatic papules, and mild decrease in bend deformed shaft of penis [ Figure www father deformed daughter com ].