DERMATOLOGY WARD CASE PRESENTATION ID THE patient is

DERMATOLOGY WARD CASE PRESENTATION

ID : THE patient is a 59 years old man who came here with cc of painful scrotal ulcers since one month ago. First lesions were started since 10 years ago and this duration patient received treatment with improvement periods. The pt have cc of Weakness and urinary incontinency sine 1 month ago.

PM HX: negative DRUG HX: negative Smoking: negative Family HX: negative Allergy: negative

P/E : § BP: 130/80 § PR: 73/min § RR: 15/min § T: 37. 3

Skin examination : 3 punchout scrotal ulcers in 1*2 & 2*2 size with erythematous basis & pusy discharge & tenderness & Malodor And hypopigment & erythematous scar. Mouth Exam : Normal EYE Exam: mild redness

qnail: normal qhair: normal q. Lymphadenopathy: negative q heart exam: normal qlung exam: normal breathing q organomegaly: negative q Muscle force of limbs: normal

lab data : • FBS: 90 • BS: 117 • VDRL : negative • TG: 52 • cholestrol: 113 • HDL: 33 • LDL: 69. 6

Cr: 0. 7 WBC: 9. 3 AST: 15 RBC: 4. 04 ALT: 14 HB: 8. 9 ALKP: 235 MCV: 74 BILI D: 0. 2 PLT: 241 BILI T: 0. 7 Na: 141 K: 3. 6

kidney and urinary tract sonography: Normal Prostat volume: 13 cc PVR: 230 cc

norology consult : Brian MRI & PAN Spinal MRI Requested. Ophtalmology consult: PT wasn’t retin & vitrus involvement.

DDX: • Behjat • Vasculitis • Chanchroid • Lichen simplex atrophiticus • Lupus vulgaris • Syphylis • Donovanosis • SCC