Granuloma inguinale usually starts with small red skin lumps on the genitals that turn into red, swollen skin patches. The patches can spread and destroy the skin.
Symptoms in males with granuloma inguinale include:
Symptoms in females with granuloma inguinale include:
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- Hoosen AA, Mphatsoe M, Kharsany AB, Moodley J, Bassa A, Bramdev A. Granuloma inguinale in association with pregnancy and HIV infection. Int J Gynaecol Obstet. 1996 May;53(2):133-8. 
- Jamkhedkar PP, Hira SK, Shroff HJ, Lanjewar DN. Clinico-epidemiologic features of granuloma inguinale in the era of acquired immune deficiency syndrome. Sex Transm Dis. 1998 Apr;25(4):196-200.