Genital ulcer disease: Difference between revisions
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− | == |
+ | ==Differential Diagnosis== |
− | === |
+ | ===Sexually-Transmitted Infections=== |
{| class="wikitable" |
{| class="wikitable" |
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!Organism |
!Organism |
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!Treatment |
!Treatment |
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|- |
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+ | ! colspan="5" |Painless |
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⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
|- |
|- |
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|[[Treponema pallidum pallidum]] |
|[[Treponema pallidum pallidum]] |
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|3-90 days |
|3-90 days |
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|[[penicillin]] 2.4 MU IM once |
|[[penicillin]] 2.4 MU IM once |
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⚫ | |||
⚫ | |||
⚫ | |||
⚫ | |||
− | | |
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|- |
|- |
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|[[Chlamydia trachomatis]] serovars L1-L3 |
|[[Chlamydia trachomatis]] serovars L1-L3 |
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|3-30 days |
|3-30 days |
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|[[doxycycline]] 100 mg PO bid for 21 days |
|[[doxycycline]] 100 mg PO bid for 21 days |
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⚫ | |||
+ | ! colspan="5" |Painful |
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⚫ | |||
+ | |genital herpes |
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⚫ | |||
⚫ | |||
+ | |[[acyclovir]] or [[valacyclovir]] for 5 to 10 days |
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⚫ | |||
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+ | |[[ciprofloxacin]] 500 mg PO once |
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|[[Klebsiella granulomatis]] |
|[[Klebsiella granulomatis]] |
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|<1% |
|<1% |
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|1-180 days |
|1-180 days |
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+ | |[[azithromycin]] 1 g PO weekly for 21 days (and healed) |
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|} |
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− | === |
+ | ===Other Infectious Causes=== |
− | * |
+ | *Fungal |
− | ** |
+ | **[[Candida]] |
− | ** |
+ | **Deep fungal infection |
− | * |
+ | *Viral |
− | ** |
+ | **[[Cytomegalovirus]] |
− | ** |
+ | **[[Varicella-zoster virus]] |
− | ** |
+ | **[[Epstein-Barr virus]] |
− | * |
+ | *Bacterial |
− | ** |
+ | **[[Staphylococcus]] |
− | ** |
+ | **[[Streptococcus]] |
− | ** |
+ | **[[Salmonella]] |
− | ** |
+ | **[[Pseudomonas]] |
− | ** |
+ | **[[Mycobacterium]] |
− | * |
+ | *[[Scabies]] |
− | === |
+ | ===Non-Infectious Causes=== |
− | * |
+ | *Bullous dermatoses |
− | ** |
+ | **Non-autoimmune |
− | *** |
+ | ***[[Contact dermatitis]] |
− | *** |
+ | ***[[Erythema multiforme]] (usually secondary to [[HSV]]) |
− | *** |
+ | ***[[Toxic epidermolysis]] |
− | ** |
+ | **Autoimmune |
− | *** |
+ | ***[[Pemphigus]] |
− | *** |
+ | ***[[Cicatricial pemphigoid|Pemphigoid]] |
− | * |
+ | *Non-bullous dermatoses |
− | ** |
+ | **Nonspecific [[vulvitis]]/[[balanitis]] |
− | ** |
+ | **[[Aphthous ulcer]] |
− | ** |
+ | **[[Lichen planus]] |
− | ** |
+ | **[[Lichen sclerosus]] |
− | ** |
+ | **[[Behçet disease]] |
− | ** |
+ | **[[Pyoderma gangrenosum]] |
− | ** |
+ | **[[Fixed drug eruption]] |
− | ** |
+ | **[[Systemic lupus erythematosus]] |
− | ** |
+ | **[[Crohn disease]] |
− | ** |
+ | **[[Vasculitis]] |
− | * |
+ | *Malignancy |
− | ** |
+ | **[[Squamous cell carcinoma]] |
− | ** |
+ | **[[Vulvar intraepithelial neoplasia]] |
− | ** |
+ | **Extramammary [[Paget disease]] |
− | ** |
+ | **[[Basal cell carcinoma]] |
− | ** |
+ | **[[Lymphoma]] |
− | ** |
+ | **[[Leukemia]] |
− | ** |
+ | **[[Langerhans cell histiocytosis]] |
− | * |
+ | *Trauma |
− | * |
+ | *Idiopathic (12-51%) |
− | == |
+ | ==Further Reading== |
− | * |
+ | *[https://www.canada.ca/en/public-health/services/infectious-diseases/sexual-health-sexually-transmitted-infections/canadian-guidelines/sexually-transmitted-infections/canadian-guidelines-sexually-transmitted-infections-21.html Management and treatment of specific syndromes – Genital Ulcer Disease (GUD)]. ''Canadian Guidelines on Sexually Transmitted Infections''. 2016. |
[[Category:Infectious diseases]] |
[[Category:Infectious diseases]] |
Latest revision as of 02:37, 20 February 2022
Differential Diagnosis
Sexually-Transmitted Infections
Organism | Disease | % | Incubation | Treatment |
---|---|---|---|---|
Painless | ||||
Treponema pallidum pallidum | primary syphilis | 1% | 3-90 days | penicillin 2.4 MU IM once |
Chlamydia trachomatis serovars L1-L3 | lymphogranuloma venereum | <1% | 3-30 days | doxycycline 100 mg PO bid for 21 days |
Painful | ||||
Herpes simplex virus | genital herpes | 95% | 2-7 days (1º) | acyclovir or valacyclovir for 5 to 10 days |
Haemophilus ducreyi | chancroid | <1% | 5-14 days | ciprofloxacin 500 mg PO once |
Klebsiella granulomatis | donovanosis (granuloma inguinale) | <1% | 1-180 days | azithromycin 1 g PO weekly for 21 days (and healed) |
Other Infectious Causes
Non-Infectious Causes
- Bullous dermatoses
- Non-autoimmune
- Contact dermatitis
- Erythema multiforme (usually secondary to HSV)
- Toxic epidermolysis
- Autoimmune
- Non-autoimmune
- Non-bullous dermatoses
- Malignancy
- Trauma
- Idiopathic (12-51%)
Further Reading
- Management and treatment of specific syndromes – Genital Ulcer Disease (GUD). Canadian Guidelines on Sexually Transmitted Infections. 2016.