Chronic skin lesions in a construction worker.

Figures 1. Erythematous and verrucous plaque with scrotal ulceration. A 38-year-old Mexican immigrant with no significant past medical history was admitted to the hospital with a 3-week history of progressive left scrotal lesions that started as a single papule and evolved to become a painful erythematous and verrucous plaque with scrotal ulceration (Figure 1). The patient denied fever, chills, respiratory symptoms, or weight loss and stated that, although these lesions had been present for only 3 weeks, similar lesions had developed 1 year earlier on the dorsal aspect of his left foot and abdomen (Figure 2). Despite these lesions, he had otherwise remained in his usual state of health