{"id":1053437,"date":"2012-07-01T15:47:44","date_gmt":"2012-07-01T15:47:44","guid":{"rendered":"http:\/\/www.immortalitymedicine.tv\/neurology\/genital-ulcers-2012-review-from-am-fam-physician.php"},"modified":"2024-08-17T18:51:21","modified_gmt":"2024-08-17T22:51:21","slug":"genital-ulcers-2012-review-from-am-fam-physician","status":"publish","type":"post","link":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/neurology\/genital-ulcers-2012-review-from-am-fam-physician.php","title":{"rendered":"Genital ulcers – 2012 review from Am Fam Physician"},"content":{"rendered":"

Here is an excerpt from a review article<\/a> in the official AAFP journal American Family Physician:<\/p>

Causes of genital ulcers<\/b><\/p>

Herpes simplex virus (HSV) infection and syphilis are the most common causes of genital ulcers in the U.S.<\/p>

Other infectious<\/b> causes include:<\/p>

- chancroid
- lymphogranuloma venereum (LGV)
- granuloma inguinale (donovanosis)
- secondary bacterial infections
- fungi<\/p>

Noninfectious<\/b> etiologies of genital ulcers include:<\/p>

- sexual trauma
- psoriasis
- Behçet syndrome
- fixed drug eruptions<\/p>

CDC Streaming Health<\/a> | This video, produced by Be Smart. Be Well., raises awareness of Sexually Transmitted Diseases (STDs): 1) What are they? 2) Why they matter? and, 3) What can I do about them? Footage courtesy of Be Smart. Be Well. http:\/\/www.besmartbewell.com<\/a>, featuring CDC's Dr. John Douglas, Division of Sexually Transmitted Disease Prevention.<\/p>

Diagnosis<\/b><\/p>

The following tests should be considered in all patients:<\/p>

- serologic tests for syphilis and darkfield microscopy or direct fluorescent antibody testing for Treponema pallidum
- culture or polymerase chain reaction test for herpes simplex virus (HSV)
- culture for Haemophilus ducreyi in settings with a high prevalence of chancroid<\/p>

No pathogen is identified in up to 25% of patients with genital ulcers.<\/p>

Treatment<\/b><\/p>

The first episode of herpes simplex virus infection is usually treated with 7-10 days of oral acyclovir (5 days for recurrent episodes). Famciclovir and valacyclovir are alternative therapies.<\/p>

One dose of intramuscular penicillin G benzathine is recommended to treat genital ulcers caused by primary syphilis.<\/p>

Treatment options for chancroid include a single dose of intramuscular ceftriaxone or oral azithromycin, ciprofloxacin, or erythromycin.<\/p>

Lymphogranuloma venereum and donovanosis are treated with 21 days of oral doxycycline.<\/p>

Treatment of noninfectious causes of genital ulcers varies by etiology, of course. Topical wound care for ulcers caused by sexual trauma. Subcutaneous pegylated interferon alfa-2a is considered for ulcers caused by Behçet syndrome.<\/p>

References:<\/p>

Diagnosis and management of genital ulcers<\/a>. Roett MA, Mayor MT, Uduhiri KA. Am Fam Physician. 2012 Feb 1;85(3):254-62.<\/p>

Posted at Clinical Cases and Images<\/a>. Stay updated and subscribe<\/a>, follow us on Twitter<\/a> and connect on Facebook<\/a>.\"\"<\/p><\/div>

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Source:
http:\/\/feeds.feedburner.com\/CasesBlog<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Here is an excerpt from a review article in the official AAFP journal American Family Physician:Causes of genital ulcersHerpes simplex virus (HSV) infection and syphilis are the most common causes of genital ulcers in the U.S.Other infectious causes include:- chancroid- … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[1246864],"tags":[],"class_list":["post-1053437","post","type-post","status-publish","format-standard","hentry","category-neurology"],"modified_by":null,"_links":{"self":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts\/1053437"}],"collection":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/comments?post=1053437"}],"version-history":[{"count":0,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/posts\/1053437\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/media?parent=1053437"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/categories?post=1053437"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.euvolution.com\/futurist-transhuman-news-blog\/wp-json\/wp\/v2\/tags?post=1053437"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}