case_images: PMC10335878_01
case_images: Penile lesion one month after initial presentation.
case_images: CRIVAM2023-6920383.001.jpg
case_images: PMC10335878_01_CRIVAM2023-6920383.001.jpg
case_images: fig1
case_images: A 60-year-old male with a history of cerebral artery aneurysm status postclipping several years ago, obesity, prior tobacco use, and hypertension presented to the urology clinic for evaluation of a split urine stream with associated irritation and peeling of the skin of his glans penis which worsened with intercourse (Figure 1).
case_images: Penile lesion two months after initial presentation.
case_images: CRIVAM2023-6920383.002.jpg
case_images: PMC10335878_01_CRIVAM2023-6920383.002.jpg
case_images: fig2
case_images: By this point, his penile lesion had started ulcerating (Figure 2).
case_images: Penile lesion four months after initial presentation, one month after anticoagulation.
case_images: CRIVAM2023-6920383.003.jpg
case_images: PMC10335878_01_CRIVAM2023-6920383.003.jpg
case_images: fig3
case_images: He was evaluated every three weeks in the wound care clinic and was found to have significant improvement with the use of collagenase and mupirocin along with continued anticoagulation (Figure 3).
case_images: Resolution of penile lesion at 6 months.
case_images: CRIVAM2023-6920383.004.jpg
case_images: PMC10335878_01_CRIVAM2023-6920383.004.jpg
case_images: fig4
case_images: Six months after starting anticoagulation and wound care, he followed up in the vascular medicine clinic and was found to have near resolution of his penile ulcer (Figure 4).