Are You Confident of the Diagnosis? What you should be alert for in the history Chancroid should be suspected in any patient who presents with a painful genital ulcer, especially with a congruent sexual history and in the proper epidemiologic setting (more commonly seen in Africa and elsewhere in small focal outbreaks). Characteristic findings on…
Are You Confident of the Diagnosis? What you should be alert for in the history Syphilis is still a relatively common disease. It should be suspected in anyone with a genital ulcer. It should be considered in anyone who is sexually active with nearly any kind of rash. (The exception is vesicular lesions which are…
Are You Confident of the Diagnosis? What you should be alert for in the history Lymphogranuloma venerum (LGV) should be suspected in any person with genital ulcerations or painful unilateral inguinal lymphadenopathy, especially in tropical and subtropical areas of the world. In developed countries, it rarely causes disease, but in endemic areas and in the…
Are You Confident of the Diagnosis? What you should be alert for in the history Granuloma inguinale (GI), or donovanosis, should be considered when persons in those parts of the world where it is endemic, such as South Africa, Australia, Brazil, and India, present with a genital ulcer. In developed countries, GI rarely is a…
