ABSTRACT
The more modern denominations always tried to point out its main characteristics: regional adenopathy, almost always inguinal; subacute evolution; suppuration in multiple focus; and a possible climatic influence. The concomitance of venereum diseases can be better evaluated in the study performed by Sischy et al. in 1170 African patients, where 34% of the patients with LGV presented positive serology for syphilis. Epidemiological inquiry performed in Niteroi (Brazil), between 1948 and 1978, identified 361 cases of LGV, composing 0.26% of all 21,860 seeking dermatological assistance performed and 2.41% patients evaluated in the chapter of sexually transmitted diseases. Primary infection of the female genital tract or rectum results in primary perirectal or pelvic adenopathy, whereas infection of the male genital tract results in inguinal adenopathy. Syphilis and chancroid present ulcerated lesions and adenopathy with distinct clinical and evolutionary characteristics. The histopathological exam of the lymphnodal mass is nonspecific but may help to exclude other disorders.
