Lymphadenopathy is seen is A/E
**Core Concept**
Lymphadenopathy refers to the enlargement of lymph nodes, which can be a sign of infection, inflammation, or malignancy. In the context of skin diseases, lymphadenopathy is often seen in conditions that involve the lymphatic system, such as syphilis, chancroid, and lymphogranuloma venereum (LGV).
**Why the Correct Answer is Right**
Donovanosis, also known as granuloma inguinale, is a bacterial infection caused by Klebsiella granulomatis. It primarily affects the skin and mucous membranes, causing ulcers and lesions. Unlike other options, donovanosis does not typically cause lymphadenopathy. This is because the bacteria primarily infect the skin and mucous membranes, without involving the lymphatic system.
**Why Each Wrong Option is Incorrect**
**Option A:** Syphilis in its first stage, also known as primary syphilis, often presents with a painless chancre on the skin, accompanied by regional lymphadenopathy. The lymph nodes in the neck, groin, or armpits may become enlarged and tender.
**Option C:** Lymphogranuloma venereum (LGV) is a sexually transmitted infection caused by certain serovars of Chlamydia trachomatis. It typically presents with a painless genital ulcer, followed by significant lymphadenopathy, particularly in the groin area.
**Option D:** Chancroid is a bacterial infection caused by Haemophilus ducreyi, which presents with painful ulcers on the skin and significant lymphadenopathy, particularly in the groin area.
**Clinical Pearl / High-Yield Fact**
When evaluating a patient with skin lesions and lymphadenopathy, it is essential to consider the possibility of a sexually transmitted infection, such as syphilis, LGV, or chancroid. Donovanosis, on the other hand, is typically characterized by skin ulcers without significant lymphadenopathy.
β Correct Answer: B. Donovanosis