Scrotal chancre

History

          About three weeks after sexual intercourse with a prostitute the lesion began as a single, painless papule that rapidly became eroded and then transformed into an indurated cartilage-like rounded ulcer on the scrotum. Both VDRL and TPHA were positive. The patient was treated with 2.4 million units benzathine penicillin intramuscularly repeated after one week with excellent response.