a young 20 ys. married male c/o severe itchy painful small ulcerated leisions discharging watery fluid which were probably vesicles on scrotum penis and upper thigh for last 3 days with mild burning. Differential diagnosis please! Thanks.
I agree dr. Dhara
Tinea cruris
Provisional clinical diagnosis : Verrucous herpetic infection of the scrotum and the groin Atypical presentations of genital herpes are more commonly described among immuno-compromised patients. Furthermore, verrucous lesions may be attributed to acyclovir resistant strains of herpes simplex virus as well as co-infection with fungi and other viruses. Among immunocompromised patients, atypical presentations including vegetating and keratotic plaques have been described. However a verrucous presentation of herpes simplex virus (HSV) has been reported in immunocompetent patient. Please read: Verrucous herpetic infection of the scrotum and the groin in an immuno-competent patient: Case report and review of the literature Yoon-Soo Cindy Bae-Harboe1 MD, Amor Khachemoune2 MD Dermatology Online Journal 18 (7): 7
HERPES GENITALIS
Herpes Genitalis..I fully agree with S Dhara sir
D/D - Herpes Progenitalis Infected scabies Chancroid Intertrigo with secondary infection. Contact dermatitis with secondary infection Tinea Cruris with secondary infection. Syphilis Folliculitis Also rule immunodeficiency disorders
D/D: - HERPES GENITALIS - SYPHILIS - SCABIES - CONTACT DERMATITIS - TINEA CRURIS - FOLLICULITIS - PSORIASIS ECT--- Thanks for da Referral--- @Dr. Anil Ashar Sir
Tenia cruris with ACD
Weeping dermatitis
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