title: Painless primary herpes.
abstract: An adolescent male developed painless but severe genital ulcerations. Evaluation confirmed primary herpes. The medical literature describes the classical presentation of primary genital herpes infection as multiple ulcerations and severe pain, but 5% of male patients present without pain. Consequently, the differential diagnosis of painless genital ulcerations should include Herpes progenitalis.
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D006558:Herpes Genitalis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D010146:Pain; D010409:Penile Diseases / Q000175:diagnosis* / Q000209:etiology; D014456:Ulcer / Q000209:etiology