Concluded Case

Genital Herpez

28/f such eruption on vulva and lips burning sensation with pain.. since 1 wk hiding history of unprotected sexual contact with another partner as she is married. husband do not suffer with similar complaints.. I'm thinking it to be 1. genital herpes 2. syphilis.. please share ur expert opinions on the case

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Concluded answer

More likely herpes progenalis by unprotected sex as well as oral sex It is HPV R/o HIV1&2 Treat for herpes Tab acyclovir 800mg 5times a day for 7days and tapper off gradually and keep on maintenance dose for couple of months Tab azithromycin500mg 1od Tab Levocetrizine5mg 1bd Locally acyclovir oint 5times a day Keep followup

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More likely herpes progenalis by unprotected sex as well as oral sex It is HPV R/o HIV1&2 Treat for herpes Tab acyclovir 800mg 5times a day for 7days and tapper off gradually and keep on maintenance dose for couple of months Tab azithromycin500mg 1od Tab Levocetrizine5mg 1bd Locally acyclovir oint 5times a day Keep followup

Thanx dr Partha Sarathi Sahana
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SUGGESTIVE. OF.... IMMUNOCOMPROMISED....??? POSSIBLY... HERPETIC LESIONS ADVISABLE.... COMPLETE . SCREENING

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Genital Herpes

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? VULVOVAGINITIS.. ? HERPES GENITALIS.. ? STD .. BETTER TO INVESTIGATE WITH.. HEMOGRAM.. URINE ROUTINE.. VDRL.. TRIDOT.. SWAB C AND S EXAMINATION..

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Mostly vaginal images shows : HERPETIC EROUPTION AND SORE Face lip images shoes : look like herpetic lesion or cold chanker Mostly diagnosis 1) HERPES INFECTION 2) SYPHILIS or CHANKER 3)CHANKROID

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History nd picture sugg D/d Herpes prgenali Also looks like chanker Adv. HIV VDRL IF VDRL negative treat as herpes.

*Genital Herpes & Herpes Labialis.Advised Tzanck test.

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Herpes/Syphilis/Erythema multiforme (EM)/FDR/Bahcet's

Herpes Genitals / Vulvoviginitis

Herpetiform lesions

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