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Lymphogranuloma venereum
See also in: Cellulitis DDx,Anogenital
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Lymphogranuloma venereum

See also in: Cellulitis DDx,Anogenital
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Contributors: Tara Mahar MD, Art Papier MD, Lowell A. Goldsmith MD, MPH
Other Resources UpToDate PubMed

Synopsis

Lymphogranuloma venereum (LGV) is an uncommon sexually transmitted disease (STD) caused by the obligate intracellular bacteria Chlamydia trachomatis. It is worldwide in distribution, but more commonly seen in tropical and subtropical countries.

There are three distinct stages in the course of the disease. In the first stage, after a 3-30 day incubation period, a small painless papule or pustule develops that may erode to form an ulceration. This lesion is often asymptomatic and heals without scarring within one week.

The second or inguinal stage begins 2-6 weeks after the primary lesion and consists of painful inflammation of the inguinal and/or femoral lymph nodes. There may be prominent systemic symptoms of fever, chills, and malaise.

The third stage of disease is called the genitor-anorectal syndrome. In women in particular, it may present after asymptomatic first and second stages. Patients initially present in the third stage with proctocolitis, followed by perirectal abscesses, strictures, fistulas, and rectal stenosis.

Codes

ICD10CM:
A55 – Chlamydial lymphogranuloma (venereum)

SNOMEDCT:
186946009 – Lymphogranuloma Venereum

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Last Updated: 09/29/2017
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Lymphogranuloma venereum
See also in: Cellulitis DDx,Anogenital
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Lymphogranuloma venereum (Stage One (Male)) : Pustule, Skin ulcer, Smooth papule, Inguinal region
Clinical image of Lymphogranuloma venereum
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