The Communicative Relationship between the Socioeconomically Disadvantaged Stakeholders and the Reproductive Healthcare Nonprofit Organization.

As the third largest employment sector in the United States, nonprofits work to fill gaps left by the government and for-profit sectors. Because they work with disadvantaged populations, mission-driven nonprofits are afforded an opportunity to empower clients. This study uses Planned Parenthood as a point of entry for interrogating the role of service-oriented nonprofits. Grounded in a feminist approach to stakeholder theory, this study assesses how socioeconomically disadvantaged women experience their relationship with Planned Parenthood, and how they negotiate this relationship to meet and become better informed about their reproductive healthcare needs. Twenty women who use Planned Parenthood as their primary reproductive healthcare organization were interviewed. Findings highlight the organization's ability to meet needs and make clients comfortable in healthcare interactions, as well as barriers women experience as part of the organizational relationship. Conclusions demonstrate the importance of engaging client perspectives as nonprofits to carry out their mission.

Orolabial Lymphogranuloma Venereum, Michigan, USA.

Orolabial lymphogranuloma venereum was diagnosed for a man in Michigan, USA, who had sex with men, some infected with HIV. High index of suspicion for lymphogranuloma venereum led to accurate diagnosis, successful therapy, and description of an L2b variant with a unique genetic mutation.

Alopecia After Switch to Tenofovir Alafenamide in 6 African American Women.

No cases of tenofovir alafenamide (TAF)-induced alopecia have been reported in the literature. We describe 6 cases of hair loss in African American female patients after switching to TAF and aim to raise awareness about this potential adverse effect of TAF, which could predominate in certain patient populations.

Notes from the Field: Cluster of Lymphogranuloma Venereum Cases Among Men Who Have Sex with Men - Michigan, August 2015-April 2016.

Lymphogranuloma venereum (LGV) is a sexually transmitted disease (STD) caused by infection with invasive Chlamydia trachomatis serovars L1-L3 (1). LGV is characterized by inguinal and/or femoral lymphadenopathy, typically following a transient, self-limited genital ulcer or papule that might go unnoticed. Rectal infection can result in proctocolitis that can present with mucoid and/or hemorrhagic rectal discharge, anal pain, constipation, fever, and tenesmus, and signs of granulomas and/or ulcerations on anoscopy (1,2). LGV can be an invasive, systemic infection, and if it is not treated early, LGV proctocolitis can lead to chronic colorectal fistulas and strictures (2). In Europe, outbreaks of LGV have been reported among men who have sex with men (MSM), often in association with human immunodeficiency virus (HIV) coinfection (3-5). The prevalence of LGV in the United States is unknown (1), because diagnostic tests to differentiate LGV from non-LGV Chlamydia trachomatis are not widely available (6), and providers might not know that they should report cases that are presumptively treated.