PMC9335484_01
Initial presentation of skin lesions located on the shaft of the penis and the glans. Note small, well-circumscribed, raised lesions with umbilicated appearance.
10.1177_20499361221117726-fig1.jpg
PMC9335484_01_10.1177_20499361221117726-fig1.jpg
fig1-20499361221117726
Physical examination revealed oropharyngeal erythema, bilateral tonsillar enlargement, cervical and left inguinal lymphadenopathies, and multiple 2 mm umbilicated pearly colored and non-tender lesions on the shaft of the penis and one on the glans (Figure 1).
Evolution of lesions 4 days after the first consultation. (a) Two penile lesions with central scabbing and elevated borders. (b) Nipple with some flat erythema and local itching. (c) and (d) Two pustular and erythematous lesions on the neck and thigh.
10.1177_20499361221117726-fig2.jpg
PMC9335484_01_10.1177_20499361221117726-fig2.jpg
fig2-20499361221117726
Clinical examination revealed two penile lesions with a central scab and two pustular lesions on the neck and thigh, nipple with flat erythema, and local itching (Figure 2).
Progression of the nipple lesion. (a) The initial lesion with local signs of inflammation in the nipple, establishing the diagnosis of superimposed cellulitis. (b) and (c) Reduction of erythema and inflammation after antibiotic treatment and development of scab.
10.1177_20499361221117726-fig3.jpg
PMC9335484_01_10.1177_20499361221117726-fig3.jpg
fig3-20499361221117726
In an outpatient follow-up after 4 days of antibiotic treatment, the evolution of the lesions was favorable, with a reduction in local signs of inflammation in the nipple lesions (Figure 3) with no fever or chills.