Last reviewed:December 2019
Last updated:November  2019

Summary

Definition

History and exam

Key diagnostic factors

  • inguinal lymphadenopathy
  • nonspecific symptoms of proctocolitis
  • groove sign of Greenblatt
  • genital elephantiasis, saxophone penis, esthiomene

Other diagnostic factors

  • fever, malaise, arthralgias
  • lower abdominal or lower back pain
  • genital or anal ulcer
  • nonspecific symptoms of bacteremic spread
  • erythema nodosum
  • anogenital sinus tracts, strictures, or fistulae

Risk factors

  • other STDs
  • risky sexual behavior
  • HIV-seropositivity
  • age (20 to 40 years)
  • unprotected intercourse in an area endemic for LGV
  • male

Diagnostic investigations

Treatment algorithm

Contributors

Attending Physician

Division of Hospital Medicine

MedStar Georgetown University Hospital

Washington

DC

Disclosures

BDL declares that he has no competing interests.

Dr Benjamin D. Lorenz would like to gratefully acknowledge Dr Mettassebia Kanno, a previous contributor to this topic.

Peer reviewersVIEW ALL

Department of General Internal Medicine

Leiden University Medical Centre

Leiden

The Netherlands

Disclosures

CvN declares that he has no competing interests.

Chair

Department of Obstetrics and Gynecology

Virginia Commonwealth University

Richmond

VA

Disclosures

DC declares that he has no competing interests.

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