Diagnosis: Syphilis
Description: Chancre.
Morphology: Ulcer
Site: Penis
Sex: M
Age: 50
Type: Clinical
Submitted By: Nameer Al-Sudany
Differential DiagnosisHistory: 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.