PMC6710842_01
Sharply demarcated scrotal ulcers with surrounding erythema
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Two months into his illness, he noticed ulcerated, painful lesions over his penis and scrotum which did not heal (Figs. 1 and 2). There were sharply defined, punched out, tender ulcers over the scrotal skin, 3 to 5 mm in diameter, with a clean base and surrounding erythema (Fig. 1).
Ulcer on glans penis.
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Two months into his illness, he noticed ulcerated, painful lesions over his penis and scrotum which did not heal (Figs. 1 and 2). A similar ulcer was present on the glans penis (Fig. 2).
Bone marrow aspirate showing an expanded marrow with blasts and promonocytes having convoluted nuclei and lacy chromatin.
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Although neutropenia and anemia have occasionally been reported in BD, the marked leucopenia led us to perform a bone marrow examination, which revealed 65% blasts and promonocytes (Fig. 3).