Donovanosis
About 50% of infected men and women have lesions in the anal area. Small, beefy-red bumps appear on the genitals or around the anus. The skin gradually wears away, and the bumps turn into raised, beefy-red, velvety nodules called granulation tissue. They are usually painless, but bleed easily if injured.
The disease slowly spreads and destroys genital tissue. Tissue damage may spread to the inguinal folds, the area where the legs meet the torso.
Genitals and surrounding skin has a loss of skin color.
In its early stages, it may be difficult to tell the difference between granuloma inguinale and chancroid. In the later stages, granuloma inguinale may look like advanced genital cancers, lymphogranuloma venereum, and anogenital cutaneous amebiasis.
Granuloma inguinale should be considered if genital lesions have been present for a long time and have been spreading.
Tests that may be done include:
Laboratory tests, such as those used to detect syphilis, are available only on a research basis for diagnosing granuloma inguinale.
Keck JW. Ulcerative Lesions. Clin Fam Pract. 2005 Mar; 7(1); 13-30.
Rackel RE, Bope ET. Granuloma Inguinale. In: Conn's Current Therapy 2005. 57th ed. St. Louis, MO: Saunders; 2005:859.