Cutaneous gonococcal infections are frequent in the United States and other industrialized countries. This bacterial infection commonly affects the genitourinary tract and may rarely involve the skin. Cutaneous lesions are either primary or secondary to disseminate disease. The diagnosis of gonorrhea is based on clinical ground and is best confirmed by the isolation of the organism. Preventive measures including periodic screening of high-risk individuals and behavioral counseling are effective in controlling the disease.