DR Medhat MRCP

Genital ulcers :
Common causes of genital ulcers :
Painful ulcers :
Painless ulcers :
Herpes (HSV-2) >> Chanchroid.
Syphilis > lymphogranuloma venerium & granuloma inguinale
Genital herpes
- Is most often caused by the herpes simplex virus type 2 (HSV-2).
- Primary attacks are often severe and associated with fever whilst subsequent
attacks are generally less severe and localised to one site
HSV-1
Cold sores , TTT : topical acyclovir
سؤال acyclovir. HSV-2 Oral & genital ulcers , TTT : oral
Syphilis
- Is a sexually transmitted infection caused by the spirochaete Treponema pallidum.
Infection is characterised by primary, secondary and tertiary stages.
- A painless ulcer (chancre) is seen in the primary stage.
- The incubation period= 9-90 days.
1ry stage (chancre)
Chancre :
- Painless ulcer at the
site of sexual contact
- Often not seen in
women
2ndry stage
(4-10 wks after 1ry infection)
Fever , lymphadenopathy
Rash /trunk ,palms,sole
Buccal snail track ulcers (30%)
Condylomata lata
3ry (latent) stage (Gumma)
Syphilitic gumma.
Aortic aneurysm.
General paralysis of the
insane
Tabes dorsalis of dorsal
column (proprioception,
vibration, fine touch)
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