Discrete, solitary vesicle/papules on penis, hand, axilla | Figure 1

Discrete, solitary vesicle/papules on penis, hand, axilla

30 y.o. presents for itchy, solidarity vesicle/papule lesions that first presented on anterior shaft of the penis, followed by the hand and axilla as shown. Pt had no lympadenopathy, fever or other symptoms. No recent travel or occupation exposure.

Pt had limited pmhx but reported recent B/l ear infection for which he took a full course of amoxicillin. Pt denied recent sexual activity, high risk behaviors etc and had never been diagnosed w an STI. No substance use or exposure. Pt reported chronic GERD but was otherwise healthy and took no medications. NKA.