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December 2003

A 63-Year-Old Man With Chronic Penile Ulcers—Quiz Case

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Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2003

Arch Dermatol. 2003;139(12):1647-1652. doi:10.1001/archderm.139.12.1647-a

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 ampicillin–clavulanic 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.

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