Painful lymphadenopathy is seen in:
A. Donovanosis
B. Syphilis
C. Chancroid
D. Gonorrhaea
Ans. C. Chancroid
• The lymph nodes are painful in both acute and chronic lymphadenitis acute
leukemia, but are painless in syphillis, lymphosarcoma, secondary carcinoma,
lymphoma etc.
• Chancróid
(Soft chancre) is caused by Haemophilus
Ducrey, has an ip of 3-5 days is
characterised by painful, non indurated ulcer and painful lymphadenopathy. Ito
test is done here.
• Donovanosis or granuloma inguinale is caused by calymmatäbacterium
granulomatis, has an IP of 1-4 wks in characterised by one or more subcutaneous
nodules that erode through skin to produce ulcer, granulomatous sharply defined
painless leson. The genitalia are involved in 90% of cases and genital
swelling, particularly of the labia, is a common feature and occasionally
progresses to psuedoelephastiasis. Lymphadeopathy is not seen and pseudobubos
are seen.
• In
syphilis, painless, indurated papule formed that may oater or turn to ulcer and
painless, firm, shotty, discrete iympba’denophthy seen. -
• In herpes infection painful papule is formed that ulcerate in 3-6 days.
Tender inguinal lymphadenopathy dysuria, urethral and vaginal discharge are
local Sx.
In Gonorrhea, lymphadenopathy is not found.
In lymphogranuloma venerum after the genital lesion has healed, painful
matted suppurative lymphadenopathy occurs. Multiple sinus tracts, Groove’s
sign.Elephantiasis of valve positive.
Frei’s intradermal test is positive.
