Chancroid classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, M.D.; Nate Michalak, B.A.; Serge Korjian M.D.

Overview

Chancroid may be classified according to its clinical variants identified during a physical examination. Such variants include: dwarf, giant, follicular, transient, serpiginous, mixed, and phagedenic.

Classification

The table below outlines the variations of chancroid clinical presentation:[1][2]

Variant Characteristic
Dwarf chancroid Small, superficial, relatively painless ulcer
Giant chancroid Large granulomatous ulcer at the site of a ruptured inguinal bubo, extending beyond its margins
Follicular chancroid Seen in females in association with hair follicles of the labia majora and pubis; initial follicular pustule evolves into a classic ulcer at the site
Transient chancroid Superficial ulcers that may heal rapidly,followed by a typical inguinal bubo
Serpiginous chancroid Multiple ulcers that coalesce to form a serpiginous pattern
Mixed chancroid Nonindurated tender ulcers of chancroid appearing together with an indurated nontender ulcer of syphilis having an incubation period of 10 to 90 days
Phagedenic chancroid Ulceration that causes extensive destruction of genitalia following secondary or superinfection by anaerobes such as Fusobacterium or Bacteroides

References

  1. CURRENT Diagnosis & Treatment of Sexually Transmitted Diseases. McGraw-Hill Companies,Inc. 2007. pp. 69–74. ISBN 9780071509619.
  2. Chancroid. Wikipedia (July 16, 2015). https://en.wikipedia.org/wiki/Chancroid Accessed January 15, 2016.


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