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John P. Joyce, MD; Paul C. Waldman, MD; Antoinette F. Hood, MD

Arch Dermatol. 1989;125(4):553-554.

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

REPORT OF A CASE

A 29-year-old man presented to a local physician for evaluation of a penile ulcer that had been present for 2 weeks. The patient was treated with tetracycline for 2 weeks followed by doxycycline calcium for 2 weeks without improvement. A surgical excision was performed, and there was dehiscence of the wound with a resultant persistent painful ulceration. He was referred to our dermatology clinic for further evaluation and treatment.

The patient denied a history of sexually transmitted diseases, specifically, genital ulcers. He also denied fevers, chills, or malaise associated with the present problem. Physical examination showed a solitary indurated 2.4-cm tender lesion on the glans penis with a purulent ulcerated base (Fig 1). He had bilateral inguinal adenopathy. The remainder of the mucocutaneous examination was within normal limits.

A smear was taken from the undermined border of the ulcer and stained with Wright's, Giemsa, and Gram's . . . [Full Text PDF of this Article]

Author Affiliations
The Johns Hopkins Hospital, Baltimore, Md

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