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.

Physcial Examination

Primary LGV

• Patients presenting at first stage of LGV usually have a small, nontender papule or ulcer.
• Common locations in males:

• Coronal sulcus
• Prepuce
• Glans
• Scrotum

• 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.

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.