Painful facial, oral, and genital ulcers

Moore, Angela; Hurley, Kara; Lupi, Omar; Rossi, Beatriz; Lima, Sabine; Tyring, Stephen

Item

Painful facial, oral, and genital ulcers

Moore, Angela; Hurley, Kara; Lupi, Omar; Rossi, Beatriz; Lima, Sabine; Tyring, Stephen

Publisher

Elsevier BV

Date

3/1/2023

Abstract

A 32-year-old otherwise healthy male presented to the dermatology clinic in Rio de Janeiro, Brazil, with a 2-day history of multiple painful, non-pruritic ulcers in the genital and facial regions, fever, odynophagia, headache, and fatigue. Physical examination revealed pustules and vesicles with central umbilication at the same stage of development and targetoid crusted ulcers on the right inguinal area (Fig 1), base of the penis, right gluteal region, and left cheek along with bilateral painful inguinal adenopathy. The oropharynx showed erythematous patches and erosions with white exudate.