04-08-2007, 11:05 AM
An 18-year-old man comes to the physician because of itchy lesions on his penis for 2 weeks and itching around his wrists and ankles for 1 week. He is sexually active and does not consistently use condoms. Examination shows scattered, crusted lesions on the penis and no significant inguinal lymphadenopathy. There are excoriated papules on the wrists and ankles, a few papules between the fingers, and excoriations along the belt line. Which of the following is the most likely diagnosis?
A ) Disseminated primary herpes simplex
B ) Eczema
C ) Scabies
D ) Secondary syphilis
E ) Vasculitis
A ) Disseminated primary herpes simplex
B ) Eczema
C ) Scabies
D ) Secondary syphilis
E ) Vasculitis