Skin lesions: Genital lesions

Question 1

Behcet’s

Genital lesions

Answer 1

Painful oral and genital ulcers; scarring on scrotum;

associated with pathergy.

Most common with patient origin from Asia or Middle East.

Question 2

Chancroid

Genital lesions

Answer 2

Painful, suppurative inguinal lymph nodes;

kissing ulcers on thighs, ragged edges of ulcers;

diagnose Hemophilus ducreyi by culture or PCR

Question 3

Herpes simplex

Genital lesions

Answer 3

Painful, multiple small vesicles, not nodules

Question 4

Granuloma inguinale

Genital lesions

Answer 4

Painless chronic friable ulcers without adenopathy;

diagnose with direct stain.

(Donovaniosis / Klebsiella granulomatis)

Question 5

Syphilis

Genital lesions

Answer 5

Painless ulcer (chancre) with painless non suppurative nodes

Question 6

Lymphogranuloma venereum

Genital lesions

Answer 6

Painless ulcer with painful suppurative inguinal nodes;

diagnose by NAAT

C. trachomatis (L1, L2, and L3)

Question 7

Painless Genital lesions

Answer 7

Granuloma inguinale (Donovaniosis / Klebsiella granulomatis)

Syphilis

Lymphogranuloma venereum [C. trachomatis (L1, L2, and L3)]