To the Editor.—
As a fourth-year medical student on rotation at a local emergency room, I considered myself fortunate to have read Wright and Judson's report on penile edema (241:157, 1979) when recently presented with such a patient. I was left in a quandary, however, when careful attention to historical and objective information the authors considered important left not a clue to the cause of the patient's condition.
Report of a Case. —
An uncircumcised man in his 60s noticed painless penile swelling earlier in the day. He had not been sexually active for many years and denied recent sexual contact. He denied a previous occurrence of this condition but stated that his legs became swollen on occasion. He otherwise denied any recent genital lesions, itching, or noticeable discharge. His medical history was noteworthy for chronic renal failure for which he was undergoing hemodialysis treatment; he was, in fact, a