Piebaldism: rare but all dermatologists have heard this strange term during residency
- In the ancient classification (now obsolete), donovanosis was listed as the 5th venereal disease.
- In dermatology textbooks, it is known as Granuloma Inguinale ou venereal granuloma.
- As this infection is quite rare in Western Europe and that names are quite similar, medical students tend to find it difficult to make the difference with lymphogranuloma venereum (Nicolas-Favre disease), which is also quite rare.
- For this reason, it is easier to remember the term Donovanosis.
- The name refers to Dr Charles Donovan (1863-1951). He was Irish but born in Calcutta (Kolkata), and worked as a physician in India.
- He discovered the responsible organism in 1905 in the form of rod-shaped or oval inclusions in histiocytes (known as Donovan bodies) from beefy-red genital ulcerations [Klebsiella granulomatis, a Gram negative bacteria]
- Donovan also described 2 years earlier with Dr William Leischman, the protozoa of Kala-azar which is a type of Leishmaniasis
- Separately and roughly at the name time the cause of syphilis (treponema pallidum) was found by Drs Schaudinn and Hoffmann (1905)
Contributors
Dr Christophe Hsu – dermatologist. Geneva, Switzerland
Source of information: Harms M. Dermatologica Helvetica (The Swiss Journal of Dermatology and Venereology)
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