Lymphogranuloma venereum physical examination: Difference between revisions
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===Secondary LGV=== | ===Secondary LGV=== | ||
*Patients present with tender, swollen [[lymph nodes]], typically unilateral. | *Patients present with tender, swollen [[lymph nodes]], typically unilateral, known as [[buboes]]. | ||
:*Enlarged [[inguinal]] and/or [[femoral]] lymph nodes occur after primary lesion of anterior genital area (anterior vulva, penis, or urethra). | :*Enlarged [[inguinal]] and/or [[femoral]] lymph nodes occur after primary lesion of anterior genital area (anterior vulva, penis, or urethra). | ||
:*Enlarged [[iliac]] and/or [[perirectal]] lymph nodes occure after primary lesion of posterior genital area (posterior vulva, vagina, or anus). | :*Enlarged [[iliac]] and/or [[perirectal]] lymph nodes occure after primary lesion of posterior genital area (posterior vulva, vagina, or anus). | ||
:*Inguinal inflammation more common in men while anorectal [[lymphadenopathy]] more common in women | :*Inguinal inflammation more common in men while anorectal [[lymphadenopathy]] more common in women | ||
*20% of patients develop "Groove sign": enlarged inguinal and femoral lymph nodes separated by the inguinal ligament.<ref name="pmid11589803">{{cite journal| author=Roest RW, van der Meijden WI, European Branch of the International Union against Sexually Transmitted Infection and the European Office of the World Health Organization| title=European guideline for the management of tropical genito-ulcerative diseases. | journal=Int J STD AIDS | year= 2001 | volume= 12 Suppl 3 | issue= | pages= 78-83 | pmid=11589803 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11589803 }} </ref> | *20% of patients develop "Groove sign": enlarged inguinal and femoral lymph nodes separated by the inguinal ligament.<ref name="pmid11589803">{{cite journal| author=Roest RW, van der Meijden WI, European Branch of the International Union against Sexually Transmitted Infection and the European Office of the World Health Organization| title=European guideline for the management of tropical genito-ulcerative diseases. | journal=Int J STD AIDS | year= 2001 | volume= 12 Suppl 3 | issue= | pages= 78-83 | pmid=11589803 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11589803 }} </ref> | ||
*Buboes may present as indurated [[abscesses]] or ruptured, draining sinuses.<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> | |||
===Tertiary LGV=== | ===Tertiary LGV=== | ||
Revision as of 15:49, 24 February 2016
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Lymphogranuloma venereum Microchapters |
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Differentiating Lymphogranuloma venereum from other Diseases |
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Diagnosis |
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Lymphogranuloma venereum physical examination On the Web |
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American Roentgen Ray Society Images of Lymphogranuloma venereum physical examination |
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Risk calculators and risk factors for Lymphogranuloma venereum physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nate Michalak, B.A.
Overview
Physcial Examination
Primary LGV
- Patients presenting at first stage of LGV usually have a small, nontender papule or ulcer.[1]
- Common locations in males:
- Common locations in females:
- Posterior vaginal wall
- Posterior cervix
- Fourchette
- Vulva
- Due to lesion location on each sex, more males present at this stage than females.[1]
Secondary LGV
- Patients present with tender, swollen lymph nodes, typically unilateral, known as buboes.
- Enlarged inguinal and/or femoral lymph nodes occur after primary lesion of anterior genital area (anterior vulva, penis, or urethra).
- Enlarged iliac and/or perirectal lymph nodes occure after primary lesion of posterior genital area (posterior vulva, vagina, or anus).
- Inguinal inflammation more common in men while anorectal lymphadenopathy more common in women
- 20% of patients develop "Groove sign": enlarged inguinal and femoral lymph nodes separated by the inguinal ligament.[2]
- Buboes may present as indurated abscesses or ruptured, draining sinuses.[3]
Tertiary LGV
Gallery
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Lymphogranuloma venereum: is caused by the invasive serovars L1, L2, or L3 of Chlamydia trachomatis. This young adult experienced the acute onset of tender, enlarged lymph nodes in both groins.
References
- ↑ 1.0 1.1 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.
- ↑ Roest RW, van der Meijden WI, European Branch of the International Union against Sexually Transmitted Infection and the European Office of the World Health Organization (2001). "European guideline for the management of tropical genito-ulcerative diseases". Int J STD AIDS. 12 Suppl 3: 78–83. PMID 11589803.
- ↑ Mabey, D (2002). "Lymphogranuloma venereum". Sexually Transmitted Infections. 78 (2): 90–92. doi:10.1136/sti.78.2.90. ISSN 1368-4973.