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Dermatology

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STD

Question
18 out of 42
 

A 30-year-old male, with a history of sexual exposure comes with a painless indurated ulcer over the penis. The diagnosis is: (AIIMS Nov 2012)



A Syphilis

B Chancroid

C Lymphogranuloma venereum

D Granuloma inguinale

Ans. A
Syphilis

1. The typical primary chancre of primary syphilis begins as a single painless papule that rapidly becomes eroded and usually becomes indurated, with a characteristic cartilaginous consistency on palpation of the edge and base of the ulcer.

2. In heterosexual men the chancre is usually located on the penis, while in homosexual men it is often found in the anal canal or rectum, in the mouth Or on the external genitalia and in women, common primary sites are the cervix and labia.

3. Regional lymphadenopathy usually accompanies the primary syphilitic lesion, appearing within a week of the onset of the lesion.

4. The nodes are firm, nonsuppurative, and painless. Inguinal lymphadenopathy is bilateral and may occur with anal as well as with external genital chancres.

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