4th August 2020

A 37-year-old Nigerian male presents with a painful punched out lesion with raised edges on the medial malleolus of his right leg

A 37-year-old Nigerian male presents with a painful punched out lesion with raised edges on the medial malleolus of his right leg that has been present for 6 months. He also complains of frequent, long lasting painful erections and dyspnoea on exertion.

For the patient above, please select the SINGLE most likely underlying diagnosis. Select ONE option from the list above.