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A 37-year-old man with a history of human immunodeficiency virus (HIV) presents to a free clinic in sub-Saharan Africa with painful genital ulcers that have a dirty surface, undermined border, and surrounding erythema. He also has tender inguinal lymph nodes.

View the image taken (Figure 1) and consider what your diagnosis would be.

Man with Painful Genital Ulcers
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