26 year old woman comes to the office due to a vu Ivar lesion that she noticed 2 days ago The lesion began as a papule, but this
morning the patient noticed a small ulcer in the center. No pain or discharge is present. She has mild burning with urination but no
fever, other skin lesions, or oral ulcers. The patient is sexually active and has had 5 male partners over the past 5 years She uses
oral contraceptives to prevent pregnancy. The patient regularly uses tobacco, alcohol, and illicit drugs Vital signs are within normal
limits. Vulvar examination shows a 2 -cm ulcer with a nonexudative base and a raised, indurated margin There is no tenderness with
palpation. Moderate, painless bilateral inguinal lymphadenopathy is present
Which of the following is the most likely diagnosis in this patient?
- QA Beh<;et syndrome
- 0 B. Chancroid
- 0 C. Granuloma inguinale
- 0 D. Herpes genitalis
- 0 E. Syphilis
- 0 F Vulvar carcinoma
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