moderate cosmetic results, but they frequently lead to scarring and pigmentation changes. 3 Surgical therapy presents immediate resolution, but causes discomfort and oedema for few days and patients need to be hospitalized.Podophyllin, is a plant alkaloid obtained from the dried roots of the may apple or mandrake (Podophyllum peltatum). It crosses cell membranes and interferes with cell replication and works as a keratolytic that causes arrest of cell mitosis in metaphase. It is often used for the treatment of genital warts. In Europe, it is used also in the treatment of actinic keratosis with good results. We preferred podophyllin to other modalities of treatment because of the easy availability and application, lack of pain, and no need for hospitalization. No scarring, infection, or other adverse events were observed in our patient. Patient satisfaction with this method was high due to rapid healing time, easy wound care.M Türkmen,* 0 Ertam, 0 Ünal, T Dereli
In conclusion, we present this case for the atypical manifestations of CSD. Initially, when we examined the patient, we were sure that the patient was affected by a sexually transmitted disease.We would have not considered the B. henselae. The histological examination and serological titles helped us to recognize a new variant of CSD as pseudo-venereal disease. We have not found a similar case in the literature. We would suggest considering B. henselae infection like a differential diagnosis in patients with penile chancre and lymphadenopathy, when the coltural and serologic tests for common sexually transmitted diseases are negative.
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