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colpitis macularis
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A strawberry cervix may occur in trichomonas infections.
Strawberry cervix (colpitis macularis) is the result of punctate macular haemorrhages that are visible on the cervix
- if occurs in cases of trichomonas infections then are visible in 1-2% of cases via the naked eye but approximately 45% on coloposcopy (1)
- strawberry cervix can is not exclusively associated with trichomoniasis
but study evidence suggests
- strawberry cervix is the most specific clinical finding for vaginal trichomoniasis (specificity of 99%, P < .001), with a positive predictive value of 90% for the diagnosis of trichomoniasis (2)
Reference:
- Wolner-Hanssen P et al. Clinical manifestations of vaginal trichomoniasis.JAMA. 1989 Jan 27;261(4):571-6.
- Krieger JN, Wolner-Hanssen P, Stevens C, Holmes KK. Characteristics of Trichomonas vaginalis isolates from women with and without colpitis macularis. J Infect Dis . 1990 ;161(2): 3 07-311.
Last reviewed 01/2018
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