Lymphogranuloma venereum history and symptoms: Difference between revisions
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*Painless [[papule]] or [[ulcer]] | *Painless [[papule]] or [[ulcer]] | ||
*May be unnoticed by patient | *May be unnoticed by patient | ||
*[[Proctitis]] in patients with rectal exposure | *[[Proctitis]] in patients with rectal exposure<ref name="Mabey2002">{{cite journal|last1=Mabey|first1=D|title=Lymphogranuloma venereum|journal=Sexually Transmitted Infections|volume=78|issue=2|year=2002|pages=90–92|issn=13684973|doi=10.1136/sti.78.2.90}}</ref> | ||
===Secondary LGV=== | ===Secondary LGV=== | ||
*Painful [[inguinal]] and/or [[femoral]] [[lymphadenopathy]], usually unilateral | *Painful [[inguinal]] and/or [[femoral]] [[lymphadenopathy]], usually unilateral<ref name="pmid25870512">{{cite journal| author=Ceovic R, Gulin SJ| title=Lymphogranuloma venereum: diagnostic and treatment challenges. | journal=Infect Drug Resist | year= 2015 | volume= 8 | issue= | pages= 39-47 | pmid=25870512 | doi=10.2147/IDR.S57540 | pmc=PMC4381887 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25870512 }} </ref> | ||
:*Lymphadenopathy may be characterized as fluctuant, suppurative [[buboes]] or nonsuppurative [[abscesses]] | :*Lymphadenopathy may be characterized as fluctuant, suppurative [[buboes]] or nonsuppurative [[abscesses]] | ||
*[[Iliac]] and/or [[perirectal]] lymphadenopathy in patients with rectal exposure | *[[Iliac]] and/or [[perirectal]] lymphadenopathy in patients with rectal exposure | ||
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===Tertiary LGV=== | ===Tertiary LGV=== | ||
*Lymphatic and rectal [[fibrosis]] | *Lymphatic and rectal [[fibrosis]]<ref name="pmid10449269">{{cite journal| author=Lynch CM, Felder TL, Schwandt RA, Shashy RG| title=Lymphogranuloma venereum presenting as a rectovaginal fistula. | journal=Infect Dis Obstet Gynecol | year= 1999 | volume= 7 | issue= 4 | pages= 199-201 | pmid=10449269 | doi=10.1155/S1064744999000344 | pmc=PMC1784745 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10449269 }} </ref> | ||
*Lymphorroids ([[hemorrhoid]]-like swellings of lymphatics) | *Lymphorroids ([[hemorrhoid]]-like swellings of lymphatics) | ||
*Chronic [[edema]] | *Chronic [[edema]] | ||
*Genital [[elephantiasis]] | *Genital [[elephantiasis]]<ref name="Mabey2002"></ref> | ||
*Esthiomene (chronic ulcerative disease of vulva) | *Esthiomene (chronic ulcerative disease of vulva) | ||
*Frozen pelvis syndrome<ref name="pmid16355328">{{cite journal| author=Van der Bij AK, Spaargaren J, Morré SA, Fennema HS, Mindel A, Coutinho RA et al.| title=Diagnostic and clinical implications of anorectal lymphogranuloma venereum in men who have sex with men: a retrospective case-control study. | journal=Clin Infect Dis | year= 2006 | volume= 42 | issue= 2 | pages= 186-94 | pmid=16355328 | doi=10.1086/498904 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16355328 }} </ref> | *Frozen pelvis syndrome<ref name="pmid16355328">{{cite journal| author=Van der Bij AK, Spaargaren J, Morré SA, Fennema HS, Mindel A, Coutinho RA et al.| title=Diagnostic and clinical implications of anorectal lymphogranuloma venereum in men who have sex with men: a retrospective case-control study. | journal=Clin Infect Dis | year= 2006 | volume= 42 | issue= 2 | pages= 186-94 | pmid=16355328 | doi=10.1086/498904 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16355328 }} </ref> | ||
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*Bloody purulent rectal discharge | *Bloody purulent rectal discharge | ||
*Rectal pain | *Rectal pain | ||
*[[Hyperplasia]] of intestinal and perirectal lymphatic tissue | *[[Hyperplasia]] of intestinal and perirectal lymphatic tissue<ref name="pmid25870512"><ref> | ||
===Systemic Symptoms=== | ===Systemic Symptoms=== | ||
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*Cardiac involvment (rare) | *Cardiac involvment (rare) | ||
*[[Aseptic meningitis]] (rare) | *[[Aseptic meningitis]] (rare) | ||
*Ocular inflammatory disease (rare) | *Ocular inflammatory disease (rare)<ref name="pmid25870512"></ref> | ||
==References== | ==References== |
Revision as of 13:48, 24 February 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nate Michalak, B.A.
Symptoms
Primary LGV
Secondary LGV
- Painful inguinal and/or femoral lymphadenopathy, usually unilateral[2]
- Iliac and/or perirectal lymphadenopathy in patients with rectal exposure
- Hemorrhagic proctocolitis
- Lower abdominal or low-back pain[3]
Tertiary LGV
- Lymphatic and rectal fibrosis[4]
- Lymphorroids (hemorrhoid-like swellings of lymphatics)
- Chronic edema
- Genital elephantiasis[1]
- Esthiomene (chronic ulcerative disease of vulva)
- Frozen pelvis syndrome[5]
- Tenesmus
- Bloody purulent rectal discharge
- Rectal pain
- Hyperplasia of intestinal and perirectal lymphatic tissue
References
- ↑ 1.0 1.1 Mabey, D (2002). "Lymphogranuloma venereum". Sexually Transmitted Infections. 78 (2): 90–92. doi:10.1136/sti.78.2.90. ISSN 1368-4973.
- ↑ Ceovic R, Gulin SJ (2015). "Lymphogranuloma venereum: diagnostic and treatment challenges". Infect Drug Resist. 8: 39–47. doi:10.2147/IDR.S57540. PMC 4381887. PMID 25870512.
- ↑ de Vries HJ, Zingoni A, White JA, Ross JD, Kreuter A (2013). "2013 European Guideline on the management of proctitis, proctocolitis and enteritis caused by sexually transmissible pathogens". Int J STD AIDS. 25 (7): 465–474. doi:10.1177/0956462413516100. PMID 24352129.
- ↑ Lynch CM, Felder TL, Schwandt RA, Shashy RG (1999). "Lymphogranuloma venereum presenting as a rectovaginal fistula". Infect Dis Obstet Gynecol. 7 (4): 199–201. doi:10.1155/S1064744999000344. PMC 1784745. PMID 10449269.
- ↑ Van der Bij AK, Spaargaren J, Morré SA, Fennema HS, Mindel A, Coutinho RA; et al. (2006). "Diagnostic and clinical implications of anorectal lymphogranuloma venereum in men who have sex with men: a retrospective case-control study". Clin Infect Dis. 42 (2): 186–94. doi:10.1086/498904. PMID 16355328.