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Generalized Exanthem With Palmoplantar Involvement and Genital Ulcerations
Juan I. Porras-Luque, MD;
Ruud Valks, MD;
E. Cristina Casal, MD;
Jesus M. Fernandez-Herrera, MD, PhD
Hospital Universitario De La Princesa, Madrid, Spain
Arch Dermatol. 1998;134:1279-1284.
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REPORT OF A CASE
A 41-year-old white man was admitted to the hospital with a 5-day history of multiple tender genital erosions and ulcerations, fever, arthralgias, myalgias, and weakness. He reported having a heterosexual contact 10 days previously, and he had been otherwise healthy until then. Physical examination revealed multiple 3- to 4-mm purulent erosions and ulcerations with confluent lesions on the glans penis and prepuce (Figure 1). Two tender lymph nodes, 1.5 cm in diameter, were palpated bilaterally in the inguinal regions. The patient's temperature was 38°C. Oral doxycycline therapy (100 mg twice daily) was initiated.
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Figure 1.
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Results of the following laboratory studies were normal or negative: erythrocyte sedimentation rate, blood chemistry analysis, protein electrophoresis, determination of serum immunoglobulin levels, coagulation tests, urinalysis, and serologic tests for syphilis, rickettsiosis, and human immunodeficiency virus (HIV). . . . [Full Text of this Article]
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