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Publications: A Guide to the Clinical Care of Women with HIV/AIDS, 2005 edition


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Color Plates
    Plate 1: Trichomonads
    Plate 2: Clue cells of G. vaginalis
    Plate 3: Candida
    Plate 4: Vaginal candidiasis
    Plate 5: Severe vulvar intraepithelial neoplasia (VIN3)
    Plate 6: Nontender chancres (kissing lesions)
    Plate 7: Extensive vulvar condylomata acuminata
    Plate 8: Cervical intraepithelial neoplasia (CIN3)
    Plate 9: Mucopurulent cervicitis
    Plate 10: Profuse purulent frothy vaginal discharge
    Plate 11: Pelvic inflammatory disease
    Plate 12: Chancroid
    Plate 13: Condyloma latum in secondary syphilis
    Plate 14: Lesion of herpes simplex
    Plate 15: Herpes simplex in woman with AIDS
    Plate 16: Apthous genital ulceration
    Plate 17: Apthous oral ulceration

Color Plates

Plate 1: Trichomonads  TOP

Plate 1: Trichomonads. Picture of the view through a high-power microscope of many single celled, irregularly shaped globular Trichomonas vaginalis parasites.

Trichomonads in a saline wet mount (high power) (Monif, 1982; Fig. 22-2; reprinted with permission from Harper & Row.)


Plate 2: Clue cells of G. vaginalis  TOP

Plate 2: Clue cells of G. vaginalis vaginitis. Picture of the view through a high-power microscope of Gardnerella vaginalis cells that provide a clue to the cause of bacterial vaginosis. The G vaginalis cells look like rough-surfaced disks or globules.

Clue cells of G. vaginalis vaginitis on a saline wet mount (high power) (Monif, 1982; Fig. 22-3; reprinted with permission from Harper & Row.)


Plate 3: Candida  TOP

Plate 3:  Candida. Picture of the view through a high-power microscope of several Candida albicans, including individual yeast cells and groups of the single-celled fungus.

Candida in a saline wet mount (high power) (Monif, 1982; Fig. 22-4B; reprinted with permission from Harper & Row.)


Plate 4: Vaginal candidiasis  TOP

Plate 4: Vaginal candidiasis. Picture of the view through a medium-power micrograph of the vaginal wall with clumps of white discharge typical of a yeast infection. The clumps are white and curd-like or cottage-cheese like in appearance.

Vaginal candidiasis: thrush patches on the vaginal wall of a patient with candidiasis (courtesy J. Anderson, MD).


Plate 5: Severe vulvar intraepithelial neoplasia (VIN3)  TOP

Plate 5:  Severe vulvar intraepithelial neoplasia. Picture of a vulva with severe (Stage 3)  vulvar intraepithelial neoplasia (VIN3), as evidenced by several easily noticeable areas of abnormal skin cells. The abnormal cells form bumps and wrinkles on what should be normally smooth skin.

Severe vulvar intraepithelial neoplasia (VIN3) (Wilkinson and Stone, 1995; Fig 6.27; reprinted with permission from Williams & Wilkins.)


Plate 6: Nontender chancres (kissing lesions)  TOP

Plate 6:  Nontender chancres (kissing lesions). A picture focused on the lower vulva with two chancre sores clearly visible. The sores appear as raised, round, red open wounds in the skin.

Nontender chancres (kissing lesions) in a woman with primary syphilis (Wilkinson and Stone, 1995; Fig 8.46; reprinted with permission from Williams & Wilkins.)


Plate 7: Extensive vulvar condylomata acuminata  TOP

Plate 7: Extensive vulvar condylomata acuminate. A picture of a vulva showing a large area of genital warts (condylomata acuminate) that appear as abnormal skin folds and bumps of a much darker color than normal tissue.

Extensive vulvar condylomata acuminata (human papillomavirus) (Wilkinson and Stone, 1995; Fig 9.3; reprinted with permission from Williams & Wilkins.)


Plate 8: Cervical intraepithelial neoplasia (CIN3)  TOP

Plate 8: Cervical intraepithelial neoplasia. A picture of the cervical opening and lip with distorted areas characteristic of Stage 3 (severe) cervical intraepithelial neoplasia. The areas show both a mottled coloration (mosaicism) and swelling/bumps typical of abnormal tissue.

Cervical intraepithelial neoplasia (CIN3) demonstrating coarse mosaicism and punctuation on posterior lip (Burghardt, 1991; Fig. 11.37; reprinted with permission from Thieme Medical Publishers.)


Plate 9: Mucopurulent cervicitis  TOP

Plate 9: Mucopurulent cervicitis. A picture of the cervical orifice with some areas clearly appearing to be inflamed and swollen. A white mucus discharge also is clearly visible.

Mucopurulent cervicitis caused by C. trachomatis (Holmes, 1999; Plate 16; reprinted with permission from McGraw Hill.)


Plate 10: Profuse purulent frothy vaginal discharge  TOP

Plate 10: Profuse purulent frothy vaginal discharge. A picture of the vaginal wall heavily coated with a white mucus discharge full of small bubbles and froth attributed to infection with Trichomonas parasites.

Profuse purulent frothy vaginal discharge due to trichomonas (Holmes, 1999;
Plate 21; reprinted with permission from McGraw Hill.)


Plate 11: Pelvic inflammatory disease  TOP

Plate 11: Picture taken inside a women's body showing the uterus and the two fallopian tubes. The right fallopian tube, which is infected with Chlamydia, is swollen to several times the diameter of the uninfected left tube and has become twisted and tortuous by comparison.

Pelvic inflammatory disease, proven chlamydial pyosalpinx. Right tube is swollen and tortuous (arrow) (Holmes, 1999; Plate 17; reprinted with permission from McGraw Hill.)


Plate 12: Chancroid  TOP

Plate 12: Chancroid. A picture of the vaginal opening clearly showing an open, white, ulcerous sore on the inside of one of the vaginal lips.

Chancroid (Holmes, 1999; Plate 32; reprinted with permission from McGraw Hill.)


Plate 13: Condyloma latum in secondary syphilis  TOP

Plate 13:  Condyloma latum in secondary syphilis.  A picture of the vulva and surrounding tissues with many smooth, dome-shaped genital warts (condyloma latum) that are a symptom of secondary syphilis.

Condyloma latum in secondary syphilis (Holmes, 1999; Plate 47; reprinted with permission from McGraw Hill.)


Plate 14: Lesion of herpes simplex  TOP

Plate 14: Lesion of herpes simplex. A picture of the lower vulva with an open, red-colored, ulcerous sore clearly visible on the lower lip of the labium majora.

Lesion of herpes simplex (courtesy J. Anderson, MD).


Plate 15: Herpes simplex in woman with AIDS  TOP

Plate 15:  Herpes simplex in woman with AIDS.  A picture of several red irregularly-shaped sores typical of Herpes simplex infection erupting from a patch of skin from a woman with AIDS (CD4 count <50/mm<sup>3</sup>).

Herpes simplex in woman with AIDS, CD4<50 (courtesy J. Anderson, MD).


Plate 16: Apthous genital ulceration  TOP

Plate 16: Apthous genital ulceration. A picture of the upper vulva (spread apart by fingers) showing a very large necrotic ulcer, typical of the more severe form of apthous ulceration. The vulval mucosa is broken over a large area with blood and other fluids oozing from the wound.

Apthous genital ulceration (courtesy J. Anderson, MD).


Plate 17: Apthous oral ulceration  TOP

Plate 17: Apthous oral ulceration. A picture of the floor of the mouth (tongue held aside by a tongue depressor) showing a large apthous ulcer at the base of the tongue's underside. The ulcer is a shallow, cratered lesion with a gray pseudomembrane in the center.

Apthous oral ulceration (courtesy J. Anderson, MD).

 


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