Haber Roger, Maatouk Ismaël, de Barbeyrac Bertille, Bagot Martine, Janier Michel, Fouéré Sébastien
From the *Dermatologie et Vénéréologie, Hopital Saint Louis, Universités Bobigny, Paris, France; †Dermatologie et Vénéréologie, Hopital Hammoud, Beyrouth, Liban; ‡Centre National de Référence des Chlamydiae et des Mycoplasma, Université de Bordeaux, Bordeaux ; and §Dermatologie et Vénéréologie, Hopital Saint Louis, Paris, France.
Sex Transm Dis. 2017 May;44(5):310-312. doi: 10.1097/OLQ.0000000000000597.
These 5 cases of atypical inflammatory lymphogranula venereum (LGV) serovar L2b presenting initially with edema and persistent painful ulceration illustrate that clinical manifestations of LGV in the current outbreak in men who have sex with men reflect the influence of both the serovars virulence and the host immune system and are not confined to proctitis. L2b serovar could have a particular high virulence profile, and the need for awareness of LGV as a cause of genital ulceration is crucial.
这5例非典型炎症性性病性淋巴肉芽肿（LGV）L2b血清型最初表现为水肿和持续性疼痛性溃疡，说明在当前男男性行为者疫情中LGV的临床表现反映了血清型毒力和宿主免疫系统的影响，并不局限于直肠炎。L2b血清型可能具有特别高的毒力特征，认识到LGV是生殖器溃疡的一个病因至关重要。
