Solitary ulcer at the mons pubis in a heterosexual male patient.
Pia Hajsek, Teresa Kränke, Birgit Sadoghi
✦ AI-curated · Sources linked
Case in brief
A 54-year-old heterosexual male presented with a solitary, indurated ulcer on the mons pubis, following minimal trauma from shaving three weeks prior. Initial treatment for bacterial folliculitis led to worsening of the lesion. Diagnosis of a chancre was confirmed through polymerase chain reaction (PCR) for Treponema pallidum and syphilis serology.
Diagnostic / clinical pearl
Syphilis should be considered in the differential diagnosis of any anogenital ulceration, even in atypical locations and populations.