Lymphogranuloma venereum physical examination
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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.
- 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]
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.