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ANSWER 4

Ulcerative Genital Lesions

SALIENT POINTS:

Remember the general rule:


Painful ulcers are caused by HSV and Chacroid (Hemophilus ducreyi);


Painless ulcers are caused by syphilis, lymphogranuloma venereum (LGV) and Granuloma inguinale (Calymmatobacter)


but LGV inguinal adenopathy is painful.

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BOF 22 Jan 2016

By Wong Chen Seong