All are true regarding genital herpes except
Multiple painful lesions
Superficial erythematous lesions
No induration
No lymphadenopathy
Firm, tender, often bilateral lymphadenopathy with the initial episode is noted in HSV infection. Genital herpes is commonly caused by HSV 2. IP: 2days to 2 weeks Herpetic lesions: discrete, multiple, shallow,painful ulcers that may coalesce into larger areas of ulceration. females: labia, vagina, cervix. males: penis, scrotum. extragenital lesions occur due to autoinoculation(fingers-herpetic whitlow,buttocks) Dysuria and urethritis may be present. Complications: aseptic meningitis, disseminated infection. Tzank smear: multinucleate gaint cells are seen. Treatment: Acyclovir 400 mg orally three times a day for 7-10 days. Ref Harrison 20th edition pg 1233
Sexually transmitted diseases