engleski

Differential Diagnosis of Genital Ulecrations

In genital region there are etiologically different dermatoses: infectious, neoplastic, and inflammatory dermatoses. There are a variety of both infectious and noninfectious conditions. The diversity of etiologies, coupled with the often overlapping morphological features, make the diagnosis of genital ulcerations a challenging endeavor. We divided inflammatory genital diseases into infectious diseases (bacterial, viral, mycological and parasitic), allergic and irritant contact dermatitis, drug induced ulcerations, “accidental” and self injuries, precanceroses, carcinomas and miscellaneous dermatoses. A successful management of genital inflammatory diseases depends on an accurate diagnosis accompanied by the appropriate laboratory tests. There are five major sexually transmitted diseases and infections (STDIs) producing genital ulcerations. Their prevalence varies among geographic regions. Genital herpes is the most frequent cause of genital ulcer in Western Europe and North America. The most common cause of genital ulcer disease in developing countries appears to be chancroid. All patients with genital inflammatory lesions thought to be from an STDIs should be tested for syphilis and HIV regardless of other risk factors. Additionally it is recommended they should be tested for herpes simplex.

genital ulceration; genital inflammaroty lesions; sexually transmitted diseases and infections

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