How would sexual health clinicians manage first attendance by men who have sex with men with anogenital ulcers?

Kirby Institute . HIV, Viral Hepatitis and Sexually Tansmissible Infections in Australia: annual Surveillance Report 2018. Sydney: Kirby Institute, UNSW Sydney, 2018. https://kirby.unsw.edu.au/sites/default/files/kirby/report/KI_Annual-Surveillance-Report-2018.pdf (Accessed 3 February 2020).

Towns JM Leslie DE Denham I , et al. Painful and multiple anogenital lesions are common in men with Treponema pallidum PCR-positive primary syphilis without herpes simplex virus coinfection: A cross-sectional clinic-based study. Sexually Transmitted Infections 2016; 92: 110–115.

Sischy A da L’Exposto F Dangor Y , et al. Syphilis serology in patients with primary syphilis and non-treponemal sexually transmitted diseases in Southern Africa. Sexually Transmitted Infections 1991; 67: 129–132.

Richardson D Kumar P Jaricha T , et al. Primary syphilis in men causes painful anogenital lesions and serology isn’t always helpful. Sexually Transmitted Infections 2020; 96(8): 620. (online first).

Richardson D Fitzpatrick C Devlin J , et al. Primary syphilis lesion characteristics, serological response and management in HIV positive and HIV negative men who have sex with men. International Journal STD AIDS 2020; 31(14): 1359–1363. (online first).