Routine studies include a smear and culture of material from the sore and a dark field examination. A VDRL test should be performed if syphilis is suspected. Many cases require a biopsy of the lesion or a biopsy of the lymph node.
A Frei test will help diagnose lymphogranuloma venereum. A Tzanck test, serologic test, and viral isolation will help diagnose herpes zoster and herpes simplex. There are also serologic tests for lymphogranuloma venereum, if necessary. A Lygranum test may help diagnose lymphogranuloma inguinale. Difficult diagnostic problems should be referred to a urologist.
Read excerpts from these other book chapters related to Sores:
Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2008 Williams & Wilkins.
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Title: Algorithmic Diagnosis of Symptoms and Signs Authors: R. Douglas Collins Publisher: Lippincott Williams & Wilkins Copyright: 2003 ISBN: 0-7817-3805-9 
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