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A Nonspecific Penile Ulcer Leading to the Diagnosis of Wagner's Granulomatosis.

The presented case concerns a 53-year-old male who had been treated for nonspecific cutaneous lesions for two months without any improvement. After developing an erosive penile ulcer he was referred to our department. Investigation for sexually transmitted diseases and Mycobacterium tuberculosis ended with negative results. A penile ulcer biopsy suggested the diagnosis of Wagner's granulomatosis (WG). Patient during this period presented with upper respiratory tract symptoms. Measuring antineutrophil cytoplasmic antibodies (c-ANCA), confirmed the diagnosis. Immunosuppressive therapy was initiated and resulted a favorable response.