(BMJ)—A 39-yo woman presented w/ a painless ulcer on her L nipple that had been present for 5wk. She also reported malaise. She denied any recent travel but did recall breast biting and breast-genital contact during sexual intercourse 2wk prior to onset. Exam: demarcated ulcer w/ raised, crusted, indurated border. L axillary lymphadenopathy was present. What is the dx?
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Herpes simplex virus infection
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Impetigo
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Squamous cell carcinoma
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Syphilitic chancre
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Paget disease of breast
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