On a peculiar ringed affection the prepuce and glans / by R.W. Taylor.

  • Taylor, Robert W. (Robert William), 1842-1908
Date:
[1884]
Catalogue details

Licence: Public Domain Mark

Credit: On a peculiar ringed affection the prepuce and glans / by R.W. Taylor. Source: Wellcome Collection.

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    interference in the mobility of the parts. From a careful study I was convinced that the lesion consisted in hyperaemia and slight increase in the epithelial layers of the parts. The patient had consulted Drs. Van Buren and Weir, who had not at that time seen a similar case. His chief anxiety consisted in a fear that the affection was a commencing epithelioma. Though seem¬ ingly insignificant and superficial, these lesions were very per¬ sistent, and only disappeared after an existence of several months under an arsenical treatment. The patient took Fowler’s solu¬ tion in small doses, and it was only when fifteen drops thrice daily were taken that full involution of the rings occurred. As they disappeared, the itching, pricking, and painful sensations gradually subsided. Besides this peculiar eruption on the penis, a few months later the patient had three papules on the right foot, which appeared to be those of lichen planus. The number of papules was increased by the appearance of several on the dorsal aspect of the foot, but they did not disappear under the use of arsenic as did the rings on the penis. In September, 1875, these rings returned, and this time they looked shiny and micaceous. At the same time patient had the same painful sensations as in the former attack, and he felt spots on the penis, which presented no abnormal appear¬ ances, yet which were hyperaesthetic even upon light pressure* Besides these morbid phenomena, the patient suffered from an uneasy sensation about the right hip, upon the skin of which he had fugitive sensations, such as accompany goose-flesh. This at¬ tack lasted about two months, and left the patient well, except that he had the hyperaesthetic condition of penis upon movement or pressure. Early in January, 1876, the patient suffered from a relapse of his scaling affection of the penis, and at the same time he had several papules bearing the appearance of lichen planus* He underwent further treatment, was cured, and until to-day had not had a relapse, but the slight hyperaesthesia of penis is felt from time to time. Case 2.—A gentleman, an American, of full habit, thirty years of age, having had gonorrhoea two years previously, which had been complicated by right orchi-epididymitis, consulted me in July, 1878, for an affection of the prepuce and glans. He was a man free from any diathesis, and of healthy parentage. His orchi-epididymitis, which had been treated by me, was followed by more or less severe paroxysmal attacks of hyperaesthesia and neuralgia of the right side of the scrotum and corresponding
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