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Image Number 1384 (Syphilis)

 
Morphology:
Ulcer

Diagnosis: Syphilis

Site: Penis

Sex: M

Age: 38

Type:

Description: Button-like ulcer (Chancre)

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: Solitary painless ulcer developed at the root of the penis of 4 weeks duration. It appeared approximately 2-3 weeks after heterosexual activity. The ulcer was non tender and with hard cartilage-like consistency on palpation. VDRL and TPHA were negative and the lesion has been eradicated after single injection of bezathine penicillin 2.4 mega units intramuscularly.

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