Symptoms of venereal lymphogranuloma

Venereal lymphoid granuloma, also known as inguinal lymphogranuloma, the fourth venereal disease, tropical or climatic transverse disease, Frey's disease, together with syphilis, gonorrhea, chancre known as the four major venereal diseases. The disease is caused by Chlamydia trachomatis, which is divided into two types: Chlamydia trachomatis and Chlamydia psittaci. Chlamydia trachomatis is associated with venereal lymphogranuloma. According to different serological reactions, Chlamydia trachomatis can be divided into 15 serum types, including L1, L2 and L3, which can cause lymphogranuloma venereum.

After suffering from venereal lymphoid granuloma, the main manifestation is inguinal lymph node swelling, suppuration, the development to the late stage, can produce many serious complications. Among them, rectal stenosis is the most common, especially in women. If the lesion occurs in the urethra, it can be accompanied by urethral stricture; if it occurs in the vagina, it can cause vaginal stricture and serious destructive damage such as the passage formed by perforation between the vagina and rectum (medically called fistula) and vulvar destruction. Defective genitals can also become cancerous. STD lymphogranuloma does not appear these serious lesions at the beginning. Clinically, according to the development of the disease lesbian double dildo , it can be divided into early stage (infection, primary damage and skin damage), middle stage (lymphatic spread, accompanied by systemic symptoms) and late stage.

1. The incubation period is generally about 1 week.

2. The early symptoms are minimal herpes and ulcers. Males often occur in the penile body, glans, coronal sulcus and prepuce. Women occur around the vestibule, lesser labia, vaginal orifice and urethral orifice. Skin lesions are often single, sometimes several, no obvious symptoms, often ignored, several days of self-healing, without leaving scars.

3. the mid-term symptom is inguinal lymphadenitis. Four weeks after the onset of the first sore, enlarged inguinal lymph nodes appeared on both sides of the 2P3 case, known as the "fourth sexually transmitted disease". Lymph nodes are isolated and scattered at the beginning, with hard enlargement perfect ass , pain or tenderness kick ass , and then often adhere to each other into lumps, with purple and cyan skin surface. The skin is grooved because the inguinal ligament separates the enlarged lymph nodes. After a few weeks, the enlarged lymph nodes showed a sense of fluctuation, softened and ruptured after 1-2 weeks, and discharged yellow serous or bloody secretions, forming most fistulas, like a "spray pot". They were cured after a few weeks or months butts , and there were scars after healing. Women rarely have lymphadenitis, because the first sore often occurs in the lower part of the vagina, such as transiliac and anorectal lymph node drainage, causing iliac and perirectal lymphadenitis and proctitis, resulting in abdominal pain and low back pain. The emergence of lymphadenitis can be accompanied by systemic symptoms of varying severity, such as fever, headache, joint pain, hepatosplenomegaly, and sometimes skin rash, such as pleomorphic erythema, nodular erythema.

4. the time of late symptoms from early stage to late stage is 1-2 years, and there are also several years, which are mainly characterized by genital elephantiasis and anorectal syndrome.

The genital elephantiasis of venereal lymphogranuloma is a serious damage that occurs in the later stage of the disease. The elephant skin swelling of labia, penis and scrotum caused by chronic inflammation of lymphatic vessels can produce verrucous proliferation and Polypoid growth on the skin surface, which can form rectum-vagina or urethral fistula and form deformable ulcers and scars.

Anorectal syndrome of venereal lymphogranuloma is a common complication of this disease. It is due to inflammation from the vulva to the perirectal inflammation caused by perirectal inflammation, there may be bloody secretion excretion, and then can form a scar, and then the lower end of the rectum is tubular stenosis, resulting in defecation difficulties or accompanied by perianal fistula. As a result of progressive stenosis, constipation and abdominal pain can occur.

In addition to the above pathological changes, the disease can also have systemic complications such as aseptic meningitis, conjunctivitis, hepatitis, pericarditis and skin lesions such as nodular erythema, pleomorphic erythema, scarlet fever-like rash, urticaria and so on.
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