Chancroid physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, M.D. Nate Michalak, B.A. Serge Korjian M.D.

Physical Examination

Vital Signs

Typically normal

Skin

A patient may present with either of the following types of lesions on the genitals (or extremities in cases of cutaneous limb ulcers), depending on the stage of infection:

• Erythematous papules
• Pustules
• Ulcers

Ulcer characteristics:

• Ranges in size from 3 to 50 mm (1/8 to 2 inches) in diameter
• Painful
• Soft, nonindurated
• Irregular border
• Sharp margins
• Grey/yellow exudate
• Males typically have a single ulcer
• Females typically have multiplee ulcers
• May look similar to syphilitic chancre

Common locations in males

• Foreskin (prepuce) (most common)
• Groove behind the head of the penis (coronal sulcus)
• Shaft of the penis
• Head of the penis (glans penis)
• Opening of the penis (urethral meatus)
• Scrotum (least common)

Common locations in females

• labia majora (most common). "Kissing ulcers" may develop, defined as ulcers that occur on opposing surfaces of the labia.
• labia minora
• Perineal area
• Inner thighs (least common)

Other Signs

• Inguinal lymphadenitis in approximately 50% of patients, known as buboes (typically unilateral and predominantly in males)
• Approximately 25% of patients with lymphadenopathy may present with abscesses in lymph nodes or ruptured buboes

Gallery

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  Chancroid. Adapted from Dermatology Atlas.

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  Chancroid. Adapted from Dermatology Atlas.

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  Chancroid. Adapted from Dermatology Atlas.

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  Chancroid. Adapted from Dermatology Atlas.

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  Chancroid. Adapted from Dermatology Atlas.

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  Chancroid. Adapted from Dermatology Atlas.

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  Chancroid. Adapted from Dermatology Atlas.

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  Chancroid. Adapted from Dermatology Atlas.

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  Chancroid. Adapted from Dermatology Atlas.

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  Chancroid infection has spread to the inguinal lymph nodes, which have enlarged forming buboes.

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  Penile chancroid lesion.