Donovanosis physical examination: Difference between revisions

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==Physical Examination==
==Physical Examination==
*In early stages donovanosis commonly presents as a nontender, progressive [[Ulcer|ulcerative]] lesions without regional [[lymphadenopathy]].<ref name=" O'Farrell"></ref>
*In early stages donovanosis commonly presents as a nontender, progressive [[Ulcer|ulcerative]] lesions without regional [[lymphadenopathy]].<ref name="O'Farrell" />
:*90% of cases involve [[genital]] region
:*90% of cases involve [[genital]] region
:*10% of cases involve [[inguinal]] region
:*10% of cases involve [[inguinal]] region
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*Serpiginous outline<ref name="Richens">{{cite journal| author=Richens J| title=The diagnosis and treatment of donovanosis (granuloma inguinale). | journal=Genitourin Med | year= 1991 | volume= 67 | issue= 6 | pages= 441-52 | pmid=1774048 | doi= | pmc=PMC1194766 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1774048  }} </ref>
*Serpiginous outline<ref name="Richens">{{cite journal| author=Richens J| title=The diagnosis and treatment of donovanosis (granuloma inguinale). | journal=Genitourin Med | year= 1991 | volume= 67 | issue= 6 | pages= 441-52 | pmid=1774048 | doi= | pmc=PMC1194766 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1774048  }} </ref>


Four variants can be further classified according to their clinical presentation:<ref name=" O'Farrell">{{cite journal| author=O'Farrell N| title=Donovanosis. | journal=Sex Transm Infect | year= 2002 | volume= 78 | issue= 6 | pages= 452-7 | pmid=12473810 | doi= | pmc=PMC1758360 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12473810  }} </ref>
Four variants can be further classified according to their clinical presentation:<ref name="O'Farrell">{{cite journal| author=O'Farrell N| title=Donovanosis. | journal=Sex Transm Infect | year= 2002 | volume= 78 | issue= 6 | pages= 452-7 | pmid=12473810 | doi= | pmc=PMC1758360 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12473810  }} </ref>
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===Common Locations in Males===
===Common Locations in Males===
*[[Sulco coronal]]
*[[Coronal sulcus]]
*[[Balanopreputial]] region
*[[Prepuce|Subpreputial]] region
*[[Anus]]
*[[Anus]]


===Common Locations in Females===
===Common Locations in Females===
*[[labia minora]]
*[[labia minora]]
*Vaginal furcula
*[[Cervix]]
*[[Cevix]]
*[[Fourchette]]
*[[Fourchette]]


===Extragenital Lesion Locations===
===Extragenital Lesion Locations===
Extragenital lesions occur in 6% of patients, typically in the following locations:<ref name="Richens"></ref>
Extragenital lesions occur in 6% of patients, typically in the following locations:<ref name="Richens" />
:*[[Mouth (human)|mouth]]
:*[[Mouth (human)|mouth]]
:*[[cheek]]
:*[[cheek]]

Revision as of 20:41, 2 March 2016

Donovanosis Microchapters

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Overview

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Pathophysiology

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Classification

Differentiating Donovanosis from other Diseases

Epidemiology and Demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]; Kiran Singh, M.D. [3]; Nate Michalak, B.A.

Overview

Clinically, the disease is commonly characterized as painless, progressive ulcerative lesions without regional lymphadenopathy.

Physical Examination

  • Patients in late stages present with the following signs:[2]

Typical Lesion Characteristics

  • Beefy red color
  • Nontender
  • Emit rank odor
  • Elevated above skin
  • Smooth, rolled edge
  • Serpiginous outline[3]

Four variants can be further classified according to their clinical presentation:[1]

Type Clinical Appearance
Ulcerogrnulomatous beefy red, non-tender, bleeds easily
Hypertrophic or Verrucous irregular edge, dry
Necrotic foul smelling, deep, tissue destruction
Sclerotic dry, cicatricial, fibrous scar tissue

Common Locations in Males

Common Locations in Females

Extragenital Lesion Locations

Extragenital lesions occur in 6% of patients, typically in the following locations:[3]

Gallery

References

  1. 1.0 1.1 O'Farrell N (2002). "Donovanosis". Sex Transm Infect. 78 (6): 452–7. PMC 1758360. PMID 12473810.
  2. Velho, Paulo Eduardo Neves Ferreira; Souza, Elemir Macedo de; Belda Junior, Walter (2008). "Donovanosis". Brazilian Journal of Infectious Diseases. 12 (6). doi:10.1590/S1413-86702008000600015. ISSN 1413-8670.
  3. 3.0 3.1 Richens J (1991). "The diagnosis and treatment of donovanosis (granuloma inguinale)". Genitourin Med. 67 (6): 441–52. PMC 1194766. PMID 1774048.
  4. 4.0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 "Dermatology Atlas".
  5. 5.0 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 "Public Health Image Library (PHIL)".


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