Serpiginous Ulcer

Serpiginous Ulcer

Dermatology A rare presentation of genital ulcers in chancroid caused by Haemophilus ducreyi, seen as a single large rapidly-spreading shallow inguinal ulcer; a similar lesion may be seen in late syphilis; psoriasis may have a serpiginous pattern of extension
Gastroenterology A serpentine mucosal lesion seen by endoscopy in patients with Crohn’s disease, which may be accompanied by geographic ulcers
Ophthalmology A necrotising corneal ulcer that occurs 1–2 days after inoculation with Streptococcus pneumoniae, characterised by active ulceration at the leading edge and healing at the trailing border; it is often accompanied by hypopyon and dacrocystitis
Management Cefazolin, penicillin G

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serpiginous ulcer

Ophthalmology A necrotizing corneal ulcer that occurs 1–2 days after inoculation with S pneumoniae, characterized by active ulceration at the leading edge and healing at the trailing border; it is often accompanied by hypopyon and dacrocystitis Treatment Cefazolin, penicillin G