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Apthous ulcer

Aphthous ulcers are typically found inside the mouth, not on the genitals, and lack the associated painful inguinal lymphadenopathy of chancroid.

Behcet's disease

While causing painful genital ulcers, Behcet's is a systemic disease distinguished by the presence of recurrent oral ulcers and other systemic signs like uveitis.

Fixed drug reaction

This is a recurrent lesion in the exact same spot triggered by a specific drug, unlike the infectious etiology of chancroid.

Granuloma inguinale

This is characterized by painless, progressive, "beefy-red" ulcerative lesions that are highly vascular and bleed easily, unlike the painful, purulent ulcer of chancroid.

Herpes simplex

Genital herpes is distinguished by its initial presentation as a group of vesicles that then evolve into ulcers, whereas chancroid begins as a papule or pustule.

Pemphigus

Pemphigus vegetans can cause genital lesions, but these are typically fungating, vegetative plaques, not a discrete, painful ulcer.

Squamous cell carcinoma

A cancerous ulcer would be chronic, non-healing, and have firm, indurated borders, unlike the acute, soft ulcer of chancroid.

Syphilis

The primary chancre of syphilis is classically a single, painless ulcer with a clean base and firm, indurated border, which is the opposite of the painful, purulent, soft ulcer of chancroid.

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