Scrotal Ulcer: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Scrotal Ulcer

Riboflavin Deficiency

Angular cheilitis, or cracks at the corners of the mouth Cracked lips Dry skin Inflammation of the lining of the mouth Inflammation of the tongue Mouth ulcers Red lips Sore [medicalnewstoday.com]

Red lips Sore throat Scrotal dermatitis Fluid in mucous membranes Iron-deficiency anemia Eyes may be sensitive to bright light, and they may be itchy, watery, or bloodshot [medicalnewstoday.com]

[…] throat Scrotal dermatitis Fluid in mucous membranes Iron-deficiency anemia Eyes may be sensitive to bright light, and they may be itchy, watery, or bloodshot People who drink [medicalnewstoday.com]

Syphilis

The stage of syphilis determines the symptoms observed in the patients. Symptoms of syphilis vary greatly with the stage of the disease. In some cases, the patient may be infected but never noticed the symptoms for years. Primary syphilis: Chancre is the first sign of syphilis. It appears as a small sore on the[…] [symptoma.com]

Behçet Disease

Med Sante Trop. 2017 Feb 1;27(1):101-104. doi: 10.1684/mst.2017.0656. Author information 1 Service de médecine interne, CHU Tidjani Damerdji Tlemcen, 13000 Algérie. Abstract The aim of the current study was to describe the epidemiological and clinical features of Behçet disease in western Algeria. This observational[…] [ncbi.nlm.nih.gov]

Primary Syphilis

A 27-year-old man who has sex with men presented with a painful lesion at the urethral meatus. A diagnosis of genital herpes was suspected, and initial tests for sexually transmitted infections (STIs), including syphilis serology, were negative. However, a polymerase chain reaction (PCR) swab for Treponema pallidum[…] [ncbi.nlm.nih.gov]

Tuberculosis Cutis Lichenoides

ulcers. [ncbi.nlm.nih.gov]

Chronic epididymo-orchitis and scrotal ulcers. BMJ Case Rep 2011;2011:pii:bcr0320102825.. [PMC free article] [PubMed] [Google Scholar] 7. Chang LY, Lo KK. [ncbi.nlm.nih.gov]

[…] also be a direct manifestation of underlying tuberculosis as seen in the case reported by Al Zayyani et al,6 in which chronic tuberculous epididymo-orchitis presented as scrotal [ncbi.nlm.nih.gov]

Chancroid

Chancroid (soft chancre, ulcus molle) is a sexually transmitted disease caused by Haemophilus ducreyi. There are only local signs and symptoms and no systemic manifestations are present. Ulcers appear most commonly on the prepuce and frenulum in men and may erode through tissues. Other sites in men include:[…] [symptoma.com]

Granuloma Inguinale

Granuloma inguinale (also known as donovanosis) is a bacterial disease caused by Klebsiella granulomatis (formerly known as Calymmatobacterium granulomatis) characterized by genital ulcers. It is endemic in many less-developed regions. It is also known as donovanosis, granuloma genitoinguinale, granuloma inguinale[…] [en.wikipedia.org]

Scrotal Gangrene

We present a typical case of this extremely rare disease affecting a 16-year-old boy in whom the scrotal ulcerations were preceded by an episode of pharyngitis with fever. [ncbi.nlm.nih.gov]

Sections of hyper- and parakeratotic scrotal skin gave way to extensive ulceration. [jmedicalcasereports.biomedcentral.com]

ulceration from pressure and inadequate perianal hygiene. [uspharmacist.com]

Primary Genital Syphilis

Home References Syphilis is caused by Treponema pallidum, a spiral-shaped bacterium. (Image: © CDC) Syphilis is a sexually transmitted disease that is caused by the bacterium Treponema pallidum. After chlamydia and gonorrhea, it is the third most common sexually transmitted disease reported to the U.S. government,[…] [livescience.com]

Leukemia Cutis

Related Leukemia Cutis Presenting as Scrotal Ulcerations in a Patient With Acute Myelogenous Leukemia Figure 1. [mdedge.com]

ulcers and panniculitis resembling erythema nodosum. 1 Our patient exhibited multiple maculopapular hemorrhagic skin lesions on the face, anterior neck and chest, but no [the-dermatologist.com]

[…] particularly the meninges. 1,5,8 Atypical presentations of leukemia cutis include marked thickening of the gums, oral petechiae, leonine faces, eczematous lesions, penile and scrotal [the-dermatologist.com]

Ainhum

» Nodules, vascular appearance (kaposi » Paronychia » Penile lesions » Penile ulcers » Perianal ulcers, single or multiple » Scalp ulcers » Scrotal ulcerations » Ulcers » [medical-photographs.com]

Nodules, multiple, subcutaneous » Nodules, red » Nodule, red, extrimities » Nodules, red, face » Nodules, red, feet » Nodule, red, hand » Nodules, skin colored » Nodules, ulcerated [medical-photographs.com]

Acute HIV Infection

Several small scrotal ulcers with well-defined borders were noted. [mdedge.com]

The scrotal ulcers were swabbed, and culture and direct fluorescent antibody testing for cytomegalovirus and herpes simplex virus were negative. [mdedge.com]

Tuberculosis of the Vas Deferens

It was tender, hard, elliptical in shape, not fixed with overlying scrotal skin, and able to go above the mass. There was no discharging sinus or scrotal ulceration. [jfmpc.com]

[…] area or rarely, a penile ulcer. [expressbpd.com]

The lesions of the epididymis may ulcerate through the scrotal skin. [urology-textbook.com]

Genital Ulcer

First presented in 1973, juvenile gangrenous vasculitis of the scrotum with an acute painful scrotal ulcer preceded by symptomatic pharyngeal infections can be considered [onlinelibrary.wiley.com]

Acute genital ulcers associated with primary EBV infection in women have drawn attention since 1970s, while the corresponding penile ulcers in men were already known in 1950s [onlinelibrary.wiley.com]

Lymphatic Malformation

ulcerative, necrotic and inflammatory lesions. [ncbi.nlm.nih.gov]

CASE REPORT: We present a case of 18 year-old patient with a significant lymphedema of the lower limbs and genitalia associated with high-symptomatic under-knee and scrotal [ncbi.nlm.nih.gov]

Acute Promyelocytic Leukemia

We report a novel case of ATRA-induced scrotal ulcers in a black man with APL. [ncbi.nlm.nih.gov]

Several reports of scrotal ulceration induced by this agent have been made in the recent years. [ncbi.nlm.nih.gov]

The differential diagnosis of scrotal ulcerations in immunocompromised patients is lengthy, and misdiagnosis can lead to substantial morbidity and mortality. [ncbi.nlm.nih.gov]

Soft Tissue Swelling

ulcerative, necrotic and inflammatory lesions. [ncbi.nlm.nih.gov]

CASE REPORT: We present a case of 18 year-old patient with a significant lymphedema of the lower limbs and genitalia associated with high-symptomatic under-knee and scrotal [ncbi.nlm.nih.gov]

Orchitis

A 22-year-old adult presented with unilateral testicular enlargement and scrotal ulcer on the same side. [ncbi.nlm.nih.gov]

The authors are presenting a unique case of chronic epididymo-orchitis with scrotal ulcers. [ncbi.nlm.nih.gov]

Male Periurethral Cellulitis

There was spontaneous eruption of the boil with foul-smelling purulent discharge and progressive dark discoloration of scrotal skin with ulceration. [jcsjournal.org]

Note necrotic, black patch of scrotal skin with large ulceration. [auanet.org]

[…] due to scrotal pressure, and trauma. [emedicine.medscape.com]

Scrotal Elephantiasis

The scrotal skin is thickened and may exhibit ulcerations in severe cases. [brobible.com]

According to the National Institute of Health (NIH), scrotal elephantiasis, or massive scrotal lymphedema, is a disease that is caused by obstruction, aplasia, or hypoplasia [medicaldaily.com]

chronic sinuses, fistulas, sinus tracts, scrotal and genital lyphedema, dermal contractures, keloids (some that are still pitted with follicular ostia), scarring, skin tags [read.qxmd.com]

Penile Gangrene

ulceration from pressure and inadequate perianal hygiene. [uspharmacist.com]

scrotal pressure and trauma, inadequate hygiene (such as with paraplegics) Accidental, intentional, or surgical trauma Presence of foreign bodies Genital piercings Penile [dovemed.com]

There was spontaneous eruption of the boil with foul-smelling purulent discharge and progressive dark discoloration of scrotal skin with ulceration. [jcsjournal.org]

Scrotal Abscess

Raised papule, plaque, or ulcer on the scrotal wall; often purulent. Inguinal lymphadenopathy may be present (due to metastases or infection). [patient.info]

Note necrotic, black patch of scrotal skin with large ulceration. [auanet.org]

On physical examination, there can be diffuse enlargement, thickening and erythema of the scrotal wall, groin and perineum. [auanet.org]

Idiopathic Scrotal Edema

Raised papule, plaque, or ulcer on the scrotal wall; often purulent. Inguinal lymphadenopathy may be present (due to metastases or infection). [patient.info]

[…] perineum Pain in scrotum Pain in testicle Paratesticular mass Penoscrotodynia Persistent testicular pain Premature male climacteric Recurrent aphthous ulcer Recurrent ulcer [icdlist.com]

Note necrotic, black patch of scrotal skin with large ulceration. [auanet.org]

Superior Vena Cava Syndrome

Further examination revealed healing scrotal ulcers and oral ulcerations as well as erythematous skin lesions. [thrombosisjournal.biomedcentral.com]

Figure 1 Edema and significant collateral venous circulation (left), scrotal ulcer in recovery phase (right). Ophthalmologic examination was unremarkable. [thrombosisjournal.biomedcentral.com]

Meige Syndrome

ulcerative, necrotic and inflammatory lesions. [ncbi.nlm.nih.gov]

CASE REPORT: We present a case of 18 year-old patient with a significant lymphedema of the lower limbs and genitalia associated with high-symptomatic under-knee and scrotal [ncbi.nlm.nih.gov]

Sea-blue histiocytosis

[…] venereum Syphilis Squamous carcinoma Dermatitis artefacta Spontaneous scrotal ulceration Hidradenitis suppurativa Crohn disease Sarcoid Behçet disease Autoimmune bullous [plasticsurgerykey.com]

[…] sarcoma Langerhans cell histiocytosis Extramammary Paget disease Leukemia Lymphoma MALE GENITAL FLESH-COLORED PAPULES AND MICROPAPULES Most Likely Consider Always Rule Out Scrotal [plasticsurgerykey.com]

[…] vasculitis Hereditary spherocytosis and vascular necrosis Degos malignant atrophic papulosis Calciphylaxis Pseudomonas infection Ecthyma gangrenosum Necrotizing anorectal ulcer [plasticsurgerykey.com]

Superior Vena Cava Thrombosis

Further examination revealed healing scrotal ulcers and oral ulcerations as well as erythematous skin lesions. [thrombosisjournal.biomedcentral.com]

Figure 1 Edema and significant collateral venous circulation (left), scrotal ulcer in recovery phase (right). Ophthalmologic examination was unremarkable. [thrombosisjournal.biomedcentral.com]

Testicular Abscess

Raised papule, plaque, or ulcer on the scrotal wall; often purulent. Inguinal lymphadenopathy may be present (due to metastases or infection). [patient.info]

Note necrotic, black patch of scrotal skin with large ulceration. [auanet.org]

On physical examination, there can be diffuse enlargement, thickening and erythema of the scrotal wall, groin and perineum. [auanet.org]

Primary Cutaneous Anaplastic Large-Cell Lymphoma

An excision biopsy of scrotal ulcerative lesion was carried out. [jpma.org.pk]

Scrotal skin ulcer in a patient with previous tonsillectomy because of Natural Killer (NK) cell lymphoma. [jpma.org.pk]

The scrotal examination showed both normal testes, and a small 3X2 cms ulcerative nodular lesion of right testicular skin. [jpma.org.pk]

Erythema Nodosum

Abstract We present a young male with recurrent erythema nodosum and recent deep vein thrombosis with scrotal ulcers but no oral ulcers. [ncbi.nlm.nih.gov]