Genital ulcer disease: Difference between revisions
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(Created page with "== Differential Diagnosis == === Sexually-Transmitted Infections === {| class="wikitable" !Organism !Disease !% !Incubation !Treatment |- |Herpes simplex virus | |95% |2-...") Β |
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+ | ==Differential Diagnosis== |
β | === |
+ | ===Sexually-Transmitted Infections=== |
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{| class="wikitable" |
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!Organism |
!Organism |
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|[[Herpes simplex virus]] |
|[[Herpes simplex virus]] |
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+ | |genital herpes |
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β | | |
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|95% |
|95% |
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|2-7 days (1ΒΊ) |
|2-7 days (1ΒΊ) |
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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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β | | |
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β | === |
+ | ===Other Infectious Causes=== |
β | * |
+ | *Fungal |
β | ** |
+ | **[[Candida]] |
β | ** |
+ | **Deep fungal infection |
β | * |
+ | *Viral |
β | ** |
+ | **[[Cytomegalovirus]] |
β | ** |
+ | **[[Varicella-zoster virus]] |
β | ** |
+ | **[[Epstein-Barr virus]] |
β | * |
+ | *Bacterial |
β | ** |
+ | **[[Staphylococcus species]] |
β | ** |
+ | **[[Streptococcus species]] |
β | ** |
+ | **[[Salmonella species]] |
β | ** |
+ | **[[Pseudomonas species]] |
β | ** |
+ | **[[Mycobacterium species]] |
β | * |
+ | *[[Scabies]] |
β | === |
+ | ===Non-Infectious Causes=== |
β | * |
+ | *Bullous dermatoses |
β | ** |
+ | **Non-autoimmune |
β | *** |
+ | ***[[Contact dermatitis]] |
β | *** |
+ | ***[[Erythema multiforme]] (usually secondary to [[HSV]]) |
β | *** |
+ | ***[[Toxic epidermolysis]] |
β | ** |
+ | **Autoimmune |
β | *** |
+ | ***[[Pemphigus]] |
β | *** |
+ | ***[[Cicatricial pemphigoid|Pemphigoid]] |
β | * |
+ | *Non-bullous dermatoses |
β | ** |
+ | **Nonspecific [[vulvitis]]/[[balanitis]] |
β | ** |
+ | **[[Aphthous ulcer]] |
β | ** |
+ | **[[Lichen planus]] |
β | ** |
+ | **[[Lichen sclerosus]] |
β | ** |
+ | **[[Behçet disease]] |
β | ** |
+ | **[[Pyoderma gangrenosum]] |
β | ** |
+ | **[[Fixed drug eruption]] |
β | ** |
+ | **[[Systemic lupus erythematosus]] |
β | ** |
+ | **[[Crohn disease]] |
β | ** |
+ | **[[Vasculitis]] |
β | * |
+ | *Malignancy |
β | ** |
+ | **[[Squamous cell carcinoma]] |
β | ** |
+ | **[[Vulvar intraepithelial neoplasia]] |
β | ** |
+ | **Extramammary [[Paget disease]] |
β | ** |
+ | **[[Basal cell carcinoma]] |
β | ** |
+ | **[[Lymphoma]] |
β | ** |
+ | **[[Leukemia]] |
β | ** |
+ | **[[Langerhans cell histiocytosis]] |
β | * |
+ | *Trauma |
β | * |
+ | *Idiopathic (12-51%) |
β | == |
+ | ==Further Reading== |
β | * |
+ | *[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 β Genital Ulcer Disease (GUD)]. ''Canadian Guidelines on Sexually Transmitted Infections''. 2016. |
[[Category:Infectious diseases]] |
[[Category:Infectious diseases]] |
Revision as of 21:59, 7 August 2020
Differential Diagnosis
Sexually-Transmitted Infections
Organism | Disease | % | Incubation | Treatment |
---|---|---|---|---|
Herpes simplex virus | genital herpes | 95% | 2-7 days (1ΒΊ) | |
Treponema pallidum pallidum | primary syphilis | 1% | 3-90 days | penicillin 2.4 MU IM once |
Haemophilus ducreyi | chancroid | <1% | 5-14 days | |
Chlamydia trachomatis serovars L1-L3 | lymphogranuloma venereum | <1% | 3-30 days | doxycycline 100 mg PO bid for 21 days |
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 β Genital Ulcer Disease (GUD). Canadian Guidelines on Sexually Transmitted Infections. 2016.