All are true regarding genital herpes except
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
Multiple painful lesions
Superficial erythematous lesions
No induration
No lymphadenopathy
Sexually transmitted diseases