Global Dermatology Grand Rounds:
Case of the Month: January 1995
submitted by Dr. Rhett Drugge

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 January 1995

History of Present Illness: This 23 year old patient had and episode of bleeding two weeks ago. He was sitting on a bar stool when he noticed bleeding from the tip of the penis. The volume of blood loss left a quarter sized hemorrhagic spot in his clothing. The lesion bled slightly later that evening.
Past Medical History: His past medical history is non-contributory.
Medications: The patient was on no medications at the time including previous consumption of NSAID's in the week preceding the incident.

Physical Examination:

Click on the image for magnification

Total body skin examination demonstrated a 4 mm friable, clear papule at the orifice of the urethra. Blood vessels are visible in the lesion.

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Global Dermatology Grand Rounds
Rhett J. Drugge, M.D., Founding Editor
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