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Alcohol-induced peno-dynia

Alcohol-induced peno-dynia

International Journal of Std and Aids 15(7): 492-493

ISSN/ISBN: 0956-4624

PMID: 15228739

DOI: 10.1258/0956462041211261

Two cases of alcohol-induced peno-dynia are described in a 76-year-old business man (patient 1) and a 30-year-old man (patient 2) in the UK. The first patient had a history of burning sensation in the glans penis, which continued over the previous 20 months. He gave a history of burning and piercing sensation that starts an hour following alcohol intake. The condition is reproducible by one drink of red wine, whisky, sherry, tea or coffee. He reported an association with blue discoloration of the glans penis and redness at the tip (during the episodes of burning). On genital assessment, there were 2 pink macules on the glans penis. Under magnification, the macular lesions indicated prominent subcutaneous vascularization. He was relocating to Switzerland and was advised to seek sensitivity testing for ingestible allergens to confirm the relationship of symptoms to alcohol intake and to discover any other associated factors. The 2nd patient was referred by his general practitioner for a 10-year history of penile pain and discomfort. He gave a history of sharp pain in the penile tip that seemed to follow a specific pattern (exacerbation after sexual intercourse, constipation and/or drinking alcohol). He gave a history of occasional drinking of alcohol. Treatment with gabapentin and selective serotonin reuptake inhibitors was considered in view of his long-term symptoms. He was given the opportunity to reconsider the side effects of drug treatment.

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Accession: 004032759

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