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Lorena Leal, MD; José Manuel Carrascosa, MD, PhD; Aram Boada, MD; Carlos Ferrándiz, MD, PhD
Hospital Germans Trias i Pujol, Universitat Autònoma de Barcelona, Barcelona, Spain

Arch Dermatol. 2009;145(8):931-936.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 62-year-old man presented with a 10-day history of painful ulcerated lesions on his tongue and penis. His medical history was remarkable for a low-risk myelodysplastic syndrome, which had been treated with antithymocyte globulin and cyclosporine 1 month earlier. Clinical examination showed a large, deep, and exquisitely tender ulceration on the glans penis, with a purulent exudate (Figure 1). Also, 3 linear superficial erosions were detected on the dorsum of the tongue (Figure 2). Exudate cultures yielded Escherichia coli and Enterococcus faecalis. Antibiotic therapy with ciprofloxacin and metronidazole was unable to improve the clinical lesions, which enlarged after a few days. Laboratory evaluation was significant for a severe lymphocytopenia (lymphocytes, 300/µL [to convert to x10⁹/L, multiply by 0.001]). No other cutaneous or extracutaneous signs or symptoms of visceral involvement . . . [Full Text of this Article]

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Arch Dermatol. 2009;145(8):931-936.
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