“…5 Generally, there is no inguinal lymphadenop¬ athy unless there is secondary infection,45 but advanced subcutaneous perinodal spread may result in inguinal induration or "pseudobuboes". [5][6][7][8] In contrast, chancroid occurs as one or several shallow saucer-shaped ulcérations or as deeply ero¬ sive, punched-out lesions with a ragged, irregular, and overhanging or undermined border.34511 The floor of the ulcer is usually covered with a necroticappearing or purulent grayish-white exúdate,"1 which discloses a red, granular base similar to that of granuloma inguinale when it is removed.4910 Chancroidal ulcers are usually painful and nonindurated.910 Unlike granuloma inguinale, the lesions of chancroid may progress through a papulopustular phase before ulcerating.34910 Unilateral or bilateral large, discrete inguinal nodes or "buboes" occur in 25% to 60% of cases and often suppurate.34 '11 We observed a relatively large number of patients with nonsyphilitic genital ulcérations having clinical features most suggestive of granuloma inguinale. Because of this unusual frequency of a disease that is rare in this country, we undertook further diagnostic studies in an attempt to confirm our clinical impres¬ sion.…”