Giant chancres of perigenital localization

Abstract

The article presents three clinical cases of giant chancres of perigenital localization. In the first case, the patient went to the surgeon with complaints of inflammation of the skin of the penis, the "ulcer" on the abdomen, which had appeared a month before, did not bother him at all. The next two observations were identified as sexual contacts. It is interesting that all three cases, in addition to the identical localization of the primary affect (skin of the abdomen), unite friendly relations and a common source of infection. The presence of generalized specific eruptions (roseolous eruptions without a tendency to group) against the background of remnants of a hard chancre implies a diagnosis of secondary fresh syphilis in the patient. However, in all the described patients, we observed a clinical picture more characteristic of an unfavorable course of recurrent secondary syphilis: widespread papulopustular elements and alopecia.