A 34 year old African lady in the third trimester of her pregnancy complains of an ulcer on her vulva.

Question Number 0507

Question:
A 34 year old African lady in the third trimester of her pregnancy complains of an ulcer on her vulva. On inspection the ulcer was noted to be superficial with a rolled border and a friable, granulation tissue-like base raised above the skin surface. The ulcer was noted to bleed on palpation. There was no evidence of inguinal lymphadenopathy. Smears from the lesion are likely to reveal

a) amyloid material
b) acid fast bacilli
c) Aschoff bodies
d) myelin plaques
e) Donovan bodies


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