oa Central African Journal of Medicine - The recognition and treatment of early sexually transmitted disease

Volume 26, Issue 1
  • ISSN : 0008-9176



In the diagnosis of penile sores many factors can be taken into account. However the history, time intervals and the characteristics of the sores may often be confusing. In untreated patients the nature of the inguinal nodes is of great significance. If the nodes are painless rubbery and discrete, the patient should be considered, to have syphilis. If the nodes are painful, coalescing, fluctuant or discharging, the diagnosis is Chancroid (soft sore), but in some cases there is a possibility of a co-existing syphilis. If there are no enlarged nodes the patient is not suffering from either syphilis or chancroid. If the sore is raised, with a granulating base, the diagnosis is probably Donovanosis (granuloma inguinale). If the sores are accompanied by a burning sensation, are small and started as little blisters which have broken down, the diagnosis is probably Herpes.

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