Alpalhão, MiguelMarques Lito, LuísFilipe, PauloBorges-Costa, João2021-10-212021-10-212021Int J Dermatol. 2021 Jul 90011-9059http://hdl.handle.net/10451/49972© 2021 the International Society of DermatologyWe report the case of a 31-year-old male who presented to our Venereology Department with dysuria and a 2-year history of a minimal clear urethral discharge. He had been treated with multiple courses of antibiotics, namely, intramuscular ceftriaxone, azithromycin, ciprofloxacin, and doxycycline, even though laboratorial tests for Neisseria gonorrhoeae and Chlamydia trachomatis were consistently negative. The patient had psychological distress due to these persistent symptoms and for the lack of diagnosis as well as abstinence from any kind of sexual activity over the last 2 years. He denied any other complaints and also denied prior history of sexually transmitted diseases, other medical conditions, or current medication.engjournal article10.1111/ijd.157691365-4632