Synonym(s)
Cytomegaly ulcus
DefinitionThis section has been translated automatically.
Torpidal, ulcerous, local cytomegalovirus infection (see below cytomegaly), which occurs in immunocompromised patients.
EtiopathogenesisThis section has been translated automatically.
CMV infection, the origin is unclear; both disseminated and local infections are discussed.
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LocalizationThis section has been translated automatically.
Mainly on the genital region, perianal region, also orally (Drozd B et al. 2019); rarely on the lower extremities.
Clinical featuresThis section has been translated automatically.
Large (2.0-20 cm in diameter) and deep-reaching, sharply defined, painful ulcer penetrating the subcutis and muscles in immunocompromised patients (especially those infected with HIV).
Differential diagnosisThis section has been translated automatically.
Bacterial ulcers
Fournier gangrene(Gangraena acuta genitalium)
Internal therapyThis section has been translated automatically.
Successes have been described with the preparation Valganciclovir, also with Foscarnet and Ganciclovir.
LiteratureThis section has been translated automatically.
- Class U et al (2008) Skin infections in organ transplant patients. JDDG 6: 98-105Drozd
B et al (2019) Cutaneouscytomegalovirus
manifestations, diagnosis, and treatment: a review. DermatolOnline
J 25:13030/qt84f936cp. - Lambert EM et al (2004) Cytomegalovirus ulcer. Arch Dermatol 140: 1199-2101
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Anal fissure;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer