serpiginous ulcer


ser·pig·i·nous ul·cer

an ulcer extending on one side while healing at the opposite edge, forming an undulating margin.
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

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

serpiginous ulcer

A creeping ulcer that heals in one part and extends to another. See: Mooren ulcerSee also: ulcer