Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferences

Information for Patients

View all Images (11)

Lymphogranuloma venereum - Anogenital in
See also in: Overview,Cellulitis DDx
Other Resources UpToDate PubMed

Lymphogranuloma venereum - Anogenital in

See also in: Overview,Cellulitis DDx
Contributors: Paritosh Prasad MD, David Foster MD, Mary Gail Mercurio MD, Lynne Margesson MD
Other Resources UpToDate PubMed

Synopsis

Lymphogranuloma venereum (LGV) is an uncommon sexually transmitted infection (STI) caused by the obligate intracellular bacteria Chlamydia trachomatis (serovars L1, L2, or L3). It can present with genital ulcerative disease, lymphadenopathy, or proctocolitis. There are also reports of asymptomatic infection.

There are 3 distinct stages in the course of the disease. After a 3- to 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 1 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.

The third stage of disease in LGV is called the genito-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

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Reviewed:11/09/2021
Last Updated:07/07/2022
Copyright © 2023 VisualDx®. All rights reserved.
Patient Information for Lymphogranuloma venereum - Anogenital in
Print E-Mail Images (11)
Contributors: Medical staff writer
Premium Feature
VisualDx Patient Handouts
Available in the Elite package
  • Improve treatment compliance
  • Reduce after-hours questions
  • Increase patient engagement and satisfaction
  • Written in clear, easy-to-understand language. No confusing jargon.
  • Available in English and Spanish
  • Print out or email directly to your patient
Copyright © 2023 VisualDx®. All rights reserved.
Lymphogranuloma venereum - Anogenital in
See also in: Overview,Cellulitis DDx
A medical illustration showing key findings of Lymphogranuloma venereum (Stage One (Male)) : Pustule, Skin ulcer, Smooth papule, Inguinal region
Clinical image of Lymphogranuloma venereum - imageId=419994. Click to open in gallery.  caption: 'A bubo, appearing as confluent crusted and scarred tumors in the inguinal area.'
A bubo, appearing as confluent crusted and scarred tumors in the inguinal area.
Copyright © 2023 VisualDx®. All rights reserved.