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October 1997

An Ulcerative Lesion of the Penis

Author Affiliations

Oswaldo Cruz Foundation, Rio de Janeiro, Brazil

Arch Dermatol. 1997;133(10):1308. doi:10.1001/archderm.1997.03890460133020

REPORT OF A CASE  A 51-year-old man presented with a 9-month history of an ulcerative lesion of the glans penis. The initial lesion, which was a small excrescence with a rough surface, was diagnosed as a wart. No treatment was performed. The lesion become eroded and, after 3 to 4 months, clearly ulcerated. The ulcer slowly increased in size, but was painless. Six months after the initial lesion, he noted small knots in the inguinal region. On physical examination, an ulcerative lesion of the glans penis was noted. The ulcer was grossly oval in shape, measured 2 cm in greatest dimension, and had a granular, bleeding surface, with an infiltrated base and hard edges (Figure 1). Lymphadenopathy and several small, firm, mobile nodules were noted in both in inguinal regions. The results of laboratory tests, including red and white blood cell counts, biochemical workup, urinalysis, chest radiography, and electrocardiography, were

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