Disorder or diseaseCharacteristics of genital lesionEtiology
Primary syphilis: chancreSolitary, painless ulcer with indurated borderTreponema pallidum
Secondary syphilis: condyloma latumSlightly raised or flat, round or oval papules covered by gray exudateT. pallidum
Genital herpesCluster of shallow, small, painful ulcers on a red baseHerpes simplex virus
ChancroidPainful ulcer with sharp, undermined bordersHaemophilus ducreyi
Venereal wartsSoft, usually painless skin-colored or red papulesHuman papillomavirus
Lymphogranuloma venereum: primary stagePainless papule, shallow erosion, or ulcer; may be multiple or singleChlamydia trachomatis