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A 63-Year-Old Man With Chronic Penile UlcersQuiz Case
Arash Kimyai-Asadi, MD;
Ming H. Jih, MD, PhD;
Dina M. Began, MD;
Thaddeus W. Mully, MD;
Jerome L. Shupack, MD;
Hideko Kamino, MD
the Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY
Arch Dermatol. 2003;139:1647-1652.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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REPORT OF A CASE
A 63-year-old white man presented with a 2-month history of a single small pustule that had progressed to irregular painful ulcerations of the penis. The ulcerations had been treated empirically with 1- to 2-week courses of oral acyclovir, fluconazole, and ampicillinclavulanic acid, as well as intravenous vancomycin potassium, linezolid, and cefepime hydrochloride. However, none of these treatments was effective. The patient's medical history included benign prostatic hypertrophy and mild osteoarthritis, which had been treated with terazocin and celecoxib. His hobbies included golf, which involved frequent travel throughout the United States. He denied any history of trauma, sexually transmitted diseases, high-risk sexual behavior, or systemic symptoms.
Physical examination revealed irregular, tender ulcers on the urethral meatus, glans, and distal shaft of the penis (Figure 1). No . . . [Full Text of this Article]
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