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Colpitis macularis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

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)

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