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- Title
Nicorandil-induced penile ulceration: a case report.
- Authors
Yap, Darren; Aboumarzouk, Omar; Bates, Christopher
- Abstract
<bold>Background: </bold>Penile ulceration in older patients is commonly neoplastic or infective. However, there are rarer causes of these ulcerations that we have to exclude. We present a rare complication of penile ulceration secondary to nicorandil, a nicotinamide ester.<bold>Case Presentation: </bold>An 86-year-old white British man was referred with a bloody discharge from under his phimotic foreskin and a lump on the shaft of his penis for the past year. He had angina which has been controlled with nicorandil for the past 5 years. A surgical biopsy of the ulcer showed inflammation with no evidence of malignancy. His penile ulceration spontaneously resolved when he stopped his nicorandil treatment.<bold>Conclusions: </bold>Nicorandil-induced ulceration is a rare complication; however, it should not be missed in a clinical setting. If there is any doubt about the cause of penile ulceration, then referral to dermatology or urology for consideration of biopsy is essential.
- Subjects
NICORANDIL; DISEASE complications; INFLAMMATION; DIAGNOSIS
- Publication
Journal of Medical Case Reports, 2016, Vol 10, p1
- ISSN
1752-1947
- Publication type
journal article
- DOI
10.1186/s13256-016-0987-3