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Lymphogranuloma Venereum Updated 3/2011

Grant C. Fowler, MD
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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • Surgery
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
  • Diet
  • Patient Education
  • Prognosis
  • Complications
The following is an excerpt....
BASICS

Lymphogranuloma venereum (LGV) is a rare systemic sexually transmitted disease caused by the 3 most virulent strains or serovars of Chlamydia trachomatis, the same organism responsible for chlamydial urethritis. Incidence and prevalence increasing slightly in US in men having sex with men (MSM).

Description
  • LGV presents as painless vesicular or ulcerative lesions on the external genitalia. These are seen in early disease followed by tender inguinal/femoral lymphadenopathy, usually unilateral. Severe anogenital inflammation and scarring may result from untreated disease.
  • Previously a disease of the tropics, especially Africa, but also seen in Haiti, Jamaica, South America, East Asia, and Indonesia. Recently, outbreaks in MSM.
  • System(s) affected: Gastrointestinal; Hemic/Lymphatic/Immunologic; Reproductive
  • Synonym(s): Tropical bubo; Climatic bubo; Strumous ...

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See Also
Images >
Grooved nodes (saddle nodes) characteristic of lymphogranuloma venereum.Credit: From Sweet RL, Gibbs RS. Atlas of Infectious Diseases of the Female Genital Tract. Philadelphia: Lippincott Williams & Wilkins, 2005.
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