case_images: PMC11233046_01
case_images: Single well-defined ulcerogranulomatous swelling over left labia majora
case_images: IJSTD-45-49-g001.jpg
case_images: PMC11233046_01_IJSTD-45-49-g001.jpg
case_images: ijstd_62_23-f001
case_images: On examination, a single nontender, beefy red, irregular, ulcerogranulomatous lesion of size 4 cm x 3 cm was present over the left labia majora [Figure 1].
case_images: Histopathology shows psoriasisform hyperplasia of epidermis and diffuse lymphoplasmacytic infiltrate in involving papillary and reticular dermis (H and E, x10)
case_images: IJSTD-45-49-g002.jpg
case_images: PMC11233046_01_IJSTD-45-49-g002.jpg
case_images: ijstd_62_23-f002
case_images: Small foci of neutrophilic collection were seen within the dermis [Figure 2].
case_images: Giemsa stain was positive for Donovan bodies (x100)
case_images: IJSTD-45-49-g003.jpg
case_images: PMC11233046_01_IJSTD-45-49-g003.jpg
case_images: ijstd_62_23-f003
case_images: Giemsa stain was positive for Donovan bodies [Figure 3].
case_images: Healed ulcer after 12 weeks of treatment
case_images: IJSTD-45-49-g004.jpg
case_images: PMC11233046_01_IJSTD-45-49-g004.jpg
case_images: ijstd_62_23-f004
case_images: After 12 weeks of treatment, the ulcer heals completely with slight elevation on the affected site [Figure 4].