engleski

Pyogenic granuloma of the penis following chancre

Pyogenic granuloma (PG) is a common, acquired, benign vascular lesion of the skin and mucous membranes that can develop both spontaneously and traumatically. A 44-year-old ‘men having sex with men’ (MSM) patient presented to our Department with 2 weeks duration of painless ulcerations on the coronary sulcus and shaft of the penis with unilateral inguinal lymphadenopathy. A year after primary syphilis treatment, the patient has developed well demarcated raised vascular lesion that was bleeding after gentle touch on the spot of the previous chancre. Painless , solitary, bright red, soft, non-tender papule, sized 6 mm in diameter on the penile coronary sulcus. Although initially he had two ulcers, he developed PG on only one, which was deeper and close to frenulum. Probably the ulceration repair was incomplete due to excess movement and tension of the prepuce which caused formation of granulation tissue. According to our knowledge, this is the first case in the literature describing PG which developed on the site of primary syphilis infection, and it can support the role of trauma as an PG aetiology factor.

Pyogenic granuloma ; chancre ; primary syphilis ; treatment

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