Recurrent Painless Orogenital Ulcers for Two Decades

A man in his fifties was admitted acutely for a perforated prepyloric ulcer requiring emergent laparotomy and repair. He was referred to Dermatology the next day for incidental painless orogenital ulcers for the past 1 week. He had a history of recurrent orogenital ulcers for 2 decades, having 3-4 episodes a year. These ulcers could present in his mouth, on his genitals, or both during each episode; lasting 3-4 days prior to spontaneously resolving. There were no associated ocular, synovial, or gastrointestinal symptoms or chondritis.