Lymphogranuloma inguinale
Last Updated: 2020-11-19
ICD11: 1A80
Last Updated: 2020-11-19
Author(s): Anzengruber F., Navarini A.
ICD11: 1A80
Lymphogranuloma venereum, lymphogranulomatosis inguinalis, climatic bubo, fourth venereal disease.
Notifiable sexually transmitted disease caused by Chlamydia trachomatis serotype L1-L3.
Infection occurs through sexual intercourse.
After an incubation period of 1 to several weeks, skin changes occur in the area of the penis/ vulva, cervix or portio.
With a course in 3 stages:
Stage I:
Stage II:
Stage II:
Stage I: Male: Glans penis, coronal furrow, prepuce, anterior urethral segment. Woman: Vulva, vagina, cervix. In the current LGV epidemic in Europe and North America under MSM, the rectum is the most common site of infection.
Stage II: Boils. After the appearance of the primary lesion, the inflammation spreads via the lymphatic system.
Stage III: Genitoanal area.
Elephantiasis genitoanorectalis ulcerosa and anorectal syndrome complex, abscesses, fistulas, strictures.
Use of condoms.
Good prognosis with early therapy (stage I and II). In pronounced stage III residuals with fibrosis, genital elephanitasis and anorectal symptom complex remain.
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