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Lymphogranuloma Venereum: the Italian experience
  1. Marco Cusini (m.cusini{at}policlinico.mi.it)
  1. Institute of Dermatological Sciences-Fondazione IRCCS Policlinico, Mangiagalli, Regina Elena, Milan, Italy
    1. Vinicio Boneschi (v.boneschi{at}policlinico.mi.it)
    1. Institute of Dermatological Sciences-Fondazione IRCCS Policlinico, Mangiagalli, Regina Elena, Milan, Italy
      1. Luisa Arancio (lmhorange{at}hotmail.com)
      1. Institute of Dermatological Sciences-Fondazione IRCCS Policlinico, Mangiagalli, Regina Elena, Milan, Italy
        1. Stefano Ramoni (stefano.ramoni{at}gmail.com)
        1. Institute of Dermatological Sciences-Fondazione IRCCS Policlinico, Mangiagalli, Regina Elena, Milan, Italy
          1. Luigia Venegoni
          1. Institute of Dermatological Sciences-Fondazione IRCCS Policlinico, Mangiagalli, Regina Elena, Milan, Italy
            1. Francesca Gaiani (francesca.gaiani{at}libero.it)
            1. Institute of Dermatological Sciences-Fondazione IRCCS Policlinico, Mangiagalli, Regina Elena, Milan, Italy
              1. Henry de Vries (h.j.devries{at}amc.uva.nl)
              1. Department of Dermatology, Academic Medical Centre, University of Amsterdam, Netherlands

                Abstract

                An epidemic of lymphogranuloma venereum (LGV) has been described in men who have sex with men (MSM) in the Western World, particularly in Western Europe. The first Italian case was reported by us in 2006, and up to March 2008 we have seen 13 symptomatic cases, all in MSM. Ten cases had LGV proctitis and three cases had inguinal adenopathy as their clinical presentation. The initial three cases reported receptive anal intercourse in metropolitan areas of Northern Europe, Turkey and Eastern Europe, whereas the later cases were infections acquired locally. Diagnosis was by LGV specific real time PCR in nine cases, by symptoms and PCR for Chlamydia trachomatis in three cases, and in one case clinically and epidemiologically.

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