A 34-year-old man comes to the Emergency Department for review. He is HIV positive and
continues to have unprotected sexual intercourse with males, despite having been warned
not to, usually in relation to use of crystal methamphetamine. On examination he has a large
painless ulcer with rolled edges on the glans penis, and there is associated minor enlargement
of inguinal lymph nodes.

Which is the most likely diagnosis?

Answer rating: 100% (QA)

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