A 70-year-old married male presented with painful genital ulcer for 20 days. Initially, the patient developed single skin-colored elevated lesion over the shaft of the penis which gradually ruptured leaving behind a raw area associated with clear fluid discharge. The patient was admitted to surgery ward for nonhealing ulcer, was given oral antibiotic and anti-inflammatory medications but did not improve so was referred to the dermatology outpatient department for further evaluation. Reference was done to the dermatology department. No history of any drug ingestion before development of ulcer was present. On history, he denied any extramarital contact. He was not a known diabetic or hypertensive, but his HBa1c was 6.7 on admission. Cutaneous examination showed single circular ulcer of 2 cm x 3 cm in size with undermined edges, granulomatous base, and serous discharge over the ventral aspect of the penis [Figure 1]. There was no inguinal or femoral lymphadenopathy. The ulcer did not bleed on touch. Giemsa stain did not reveal bacillary or coccobacillary Donovan bodies. Gram stain prepared from the ulcer was negative. Biopsy was taken keeping donovanosis, sarcoidosis, PG, cutaneous tuberculosis, and SCC penis as differential diagnosis. Histopathologic examination from the ulcer edge showed granulation tissue with moderate to intense mixed polymorphonuclear, lymphocytic and plasmacytic inflammatory infiltrate, many congested blood vessels, and vast areas of hemorrhage and necrosis [Figure 2a and b]. The routine laboratory investigation, rapid plasma reagin, X-ray chest PA view, enzyme-linked immunosorbent assay-HIV, HBsAg, anti-HCV, urine routine, and microscopy were negative. On the basis of clinical examination and other investigations which ruled out other conditions, an alternate diagnosis of PG was made. The patient was treated with oral prednisolone 20 mg once a day and then in tapering doses, for a month and topical soframycin cream. Lesions healed within 15 days [Figure 3].