Ulcerated

Female Reproductive System & Breast


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with genital ulcers. In the vast majority of cases, this is secondary to sexually transmitted infections (STI) such as genital herpes, syphilis and chancroid.\n\nNon infectious etiologies which may give rise to genital ulcers include Behcet\u0027s disease, Stevens-Johnson syndrome, Pemphigus, and fixed drug eruptions.\n\nStevens-Johnson syndrome involves multiple mucocutaneous surfaces, while Pemphigus gives rise to generalized skin lesions, and Behcet\u0027s disease shows multisystemic manifestations such as uveitis and oral aphthous ulcers. Thus, the localized nature of her lesions argues against these diagnoses.\n\nThe absence of drug therapy excludes fixed drug eruptions.\n\nCloser examination of the ulcers shows them to be multiple and shallow, with an erythematous base. This morphology is characteristic of herpes simplex (HSV) infection.\n\nNote that the ulcers of chancroid are deep and irregular with a purulent and necrotic base, while those of syphillis are usually sing"}]}

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