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Image Number 1361 (Syphilis)

 
Morphology:
Ulcer

Diagnosis: Syphilis

Site: Penis

Sex: M

Age: 50

Type:

Description: Chancre.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: A 50-year-old man has had multiple heterosexual relationships presented with a rounded ulcer on the shaft of the penis just below the coronal sulcus of few weeks duration. The ulcer was painless and hard (cartilage-like) on palpation. STS (VDRL and TPHA) were positive. Two injections of benzathine penicillin 2.4 mega units one week apart i.m has cured the condition.

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