P. Hutchins, E. M. C. Dunlop and P. Rodin
by two patients, within 24 hours of coitus by seven
patients, and within seven days by six. They pre-
sented for medical advice within hours to six weeks
from onset.
Duration of the lesion was between three weeks
and four months in the 37 cases in which this was
recorded (mean 41 days). There were recurrences, in
two patients after strenuous coitus, which lasted for
21 days in each (Greenberg and Perry, 1972; Lassus
et al., 1972).
Nine patients had histories of sexually trans-
mitted disease: gonorrhoea in five, non-specific
urethritis (NSU) in two, secondary syphilis and
chronic prostatitis in one, and lymphogranuloma
venereum in one. Concurrent infections had been
present in nine patients: gonorrhoea in four and
NSU in five.
Biopsy was performed in eight cases, including
those of 'phlebitis', a lesion on the labium minus,
and a lesion on the lip.
Various treatments were used for BTLP, in-
cluding excision biopsy, aspiration, penicillin,
tetracyclines, fungicides, topical corticosteroids,
anti-inflammatory agents (Fiumara, 1975), wet
compresses, anti-viral agents (Kandil and Al-
Kashlan, 1970), and the advice to be sexually
abstinent.