A case of mixed chancre

A 39-year-old Norwegian seaman developed penile ulcerations after sexual contact overseas. The diagnosis of syphilitic chancre and of chancroid was confirmed. The ulcers healed after combined treatment with benzathine penicillin and trimethoprim-sulfamethoxazole.     

发生于手部的硬下疳一例

患者男,31岁。左手虎口处溃疡迁延不愈1个月。患者1个月前无明显诱因左手虎口处出现米粒大溃疡,少许渗出,无明显疼痛。自行外用莫匹罗星软膏1周,溃疡逐渐加重。就诊某医院外科,诊断外伤致皮肤感染,给予头孢他啶口服,外用依沙丫啶湿敷,治疗2周后溃疡无明显好转。因患者2个月前有非婚性接触史,随来我院就诊……     

Pruritic erythematous, indurated plaques on the feet

The "Clinical Snapshot" series provides a concise examination of a clinical presentation including history, treatment, patient education, and nursing measures. Using the format here, you are invited to submit your clinical snapshot to Dermatology Nursing.     

多发性硬下疳一例

患者男．47岁2006年4月27日因阴茎、龟头多发性溃疡7d就诊1个月前患者连续多次非婚无保护性行为,2周后担心感染性病,查快速血浆反应素环状卡片试验（RPR）及HIV抗体均为阴性。10d前因患结节性痒疹于手背部结常内注射由安条德（约20mg）1次;7d前阴茎、龟头出现多数吊疹、红斑．并迅速破溃．自觉患处潮湿．稍有痒感,无水疱及疼痛．无尿顿、尿急、尿痛,无发热及乏力自行用洁尔阴稀释液外洗,皮损未址消退,既往体健,无生殖器及口腔溃疡史．