Patient's question:
Consistent with the late stage of penile tuberculous chancre in recent daysDoctor's answer:
Hello! Initial lesions appear as red or normal-skinned papules or small nodules, which are hard to the touch. They can naturally resolve or form pustular necrosis at the top, leading to circular or irregular ulcers. The ulcer margins have slight undermining, with a gray necrotic exudate and purulent discharge. There is an infiltrative erythema around the ulcers. They start as solitary lesions but may become multiple and merge over time, causing pain upon palpation. After healing, they leave atrophic scars. This condition is more common in young and middle-aged adults, often occurring around the glans and coronal sulcus. It follows a chronic course and can recur, often accompanied by other tuberculosis conditions.Guidance:
(1) Treatment
1. Treatment principles Focus on actively improving the patient's overall health and boosting immunity. Systemic medications can be referred to for localized cutaneous tuberculosis.
2. Traditional Chinese Medicine (TCM) principles The treatment should invigorate the spleen, replenish qi, eliminate dampness and phlegm, activate blood circulation, and promote collateral unblocking.
3. Local treatment principles Symptomatic relief, anti-inflammatory effects, and promotion of absorption are key. Strongly irritating drugs should be avoided.
(2) Prognosis The condition follows a chronic course, may recur frequently, and is often accompanied by other tuberculosis diseases.