Dr. Shanza Ikram
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
Small painless itchless ucler at the back of penile shaft with no other symptoms.
Hi,
Welcome to icliniq.com.
I have gone through your case. According to your description and clinical picture (attachment removed to protect patient identity), this ulcer could be a manifestation of primary chancre of syphilis (one of the sexually transmitted diseases, if there is a history of sexual contact as well at least 3 to 4 weeks ago).
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Patient's Query
Thank you doctor,
Could it be something that is not an STD like from friction or something else?
Hi,
Welcome back to icliniq.com.
Yes, that is the second differential. As I have already told you that it could be traumatic as well. Trauma means friction or a sharp nail or anything which have broken the skin. In that case, apply Fucidin acid cream two times a day for seven days. But try to exclude STDs first.
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Dermatology
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