Question

A patient presents with painful vesicles in the genital region. Identify the lesion shown in the image and choose the correct diagnosis. 

• A. Herpes
• B. Chancroid
• C. Syphilis
• D. Candidiasis

Hint:

For painful genital vesicles, think of herpes simplex virus. If the vesicles are grouped and painful, it's highly suggestive of HSV infection.

Answer 1

The Correct Option is A

The lesion shown in the image is characteristic of herpes simplex virus (HSV) infection, which presents with painful, grouped vesicles on an erythematous base, often in the genital region. HSV-1 and HSV-2 are both capable of causing genital lesions, with HSV-2 being the most common cause of genital herpes. The presence of painful vesicles is a hallmark feature, differentiating it from other conditions. - Chancroid presents with painful ulcers but no vesicular lesions. - Syphilis typically presents with a painless chancre rather than painful vesicles. - Candidiasis generally causes a red, itchy rash or plaques with satellite lesions, not vesicles. Thus, the correct diagnosis is Herpes simplex virus infection.