Genital Ulcer in a HIV-infected Man

History A 54-year-old Chinese male with stage 3 HIV infection presented with preputial swelling and ulcerations for a few days in November 1996. He denied any sexual intercourse since his HIV infection was diagnosed in mid-1996. He didn't take any medication other than the anti-retrovirals for his HIV infection. These ulcers healed spontaneously after 1 week though they recurred several times in the following 2 years. Date: 12 January, 2000 Venue: Yaumatei Skin Centre Organizer: Social Hygiene Service, DH; Clinico-pathological Seminar In January 1998 the genital ulcers recurred, but this time they remained chronic for months. Initially he was treated empirically with various antibiotics like erythromycin, doxycycline and minocycline for suspected chancroid. Later the ulcers progressed to become two rapidly enlarging exophytic masses. A surgical opinion was sought for the possibility of malignancy.