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

Solution: The case presented involves a patient displaying painful vesicles in the genital region. To diagnose this condition, we need to evaluate the characteristics and symptoms associated with each provided option:

• Herpes: Typically presents as grouped, painful vesicles on erythematous base. Lesions may burst and form ulcers. Caused by Herpes Simplex Virus (HSV).
• Chancroid: Characterized by painful, necrotic ulcers with irregular borders. Often associated with inguinal lymphadenopathy. Caused by Haemophilus ducreyi.
• Syphilis: Primary syphilis presents as a single, painless ulcer called a chancre. Caused by Treponema pallidum.
• Candidiasis: Typically causes itching, redness, and white patches but not vesicles. Caused by Candida species.

Based on the description of painful vesicles in the genital region, Herpes is the most fitting diagnosis. Therefore, the correct answer is:

Herpes