A case of lymphogranuloma venereum in woman.

Jo, Eun Kyu; Jang, Jae Yeon; Choi, Sl Ah; Kim, Yun Sook; Bae, Dong Han; Choi, Hwan Jun; Lee, Ji Hye

doi:2011.54.9.566

Obstet Gynecol Sci > Volume 54(9); 2011 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2011;54(9):566-569.
DOI: https://doi.org/10.5468/KJOG.2011.54.9.566 Published online September 1, 2011.

A case of lymphogranuloma venereum in woman.

Eun Kyu Jo, Jae Yeon Jang, Sl Ah Choi, Yun Sook Kim, Dong Han Bae, Hwan Jun Choi, Ji Hye Lee

¹Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. drsook@schmc.ac.kr
²Department of Plastic Surgery, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
³Department of Pathology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.

Abstract

Lymphogranuloma venereum (LGV) is a rare sexually transmitted disease caused by chlamydia trachomatis serotypes L1-L3. The peak incidence occurs in persons 29 to 47 years old, and men are six times more likely than women to manifest clinical infection. The disease clinically manifests in three stages: a primary lesion consisting of a superficial ulcer or erosion, a secondary stage with prominent lymphadenopathy and a later stage with disease manifestations such as fibrosis, fistula, and anorectal strictures. The diagnosis of LGV is based on clinical suspicion, epidemiologic information, and the exclusion of other causes of inguinal lymphadenopathy. Diagnosis of LGV may be difficult. Patients with a clinical syndrome consistent with LGV, including genital ulcer with lymphadenopathy, should be treated for LGV. Recently we have experienced a case of LGV in 44-years-old women with inguinal bubo and sclerosing fibrous skin. We treated her with doxycycline and advancement flap.

Key Words: Lymphogranuloma venereum, Chlamydia trachomatis