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BMJ Case Rep. 2014 Jan 28;2014. pii: bcr2013202504. doi: 10.1136/bcr-2013-202504.

Acute genital ulcers.

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  • 1Department of Obstetrics and Gynecology, University General Hospital of Alicante, Alicante, Spain.

Abstract

Acute genital ulcers, also known as acute vulvar ulcers, ulcus vulvae acutum or Lipschütz ulcers, refer to an ulceration of the vulva or lower vagina of non-venereal origin that usually presents in young women, predominantly virgins. Although its incidence is unknown, it seems a rare entity, with few cases reported in the literature. Their aetiology and pathogenesis are still unknown. The disease is characterised by an acute onset of flu-like symptoms with single or multiple painful ulcers on the vulva. Diagnosis is mainly clinical, after exclusion of other causes of vulvar ulcers. The treatment is mainly symptomatic, with spontaneous resolution in 2 weeks and without recurrences in most cases. We present a case report of a 13-year-old girl with two episodes of acute ulcers that fit the clinical criteria for Lipschütz ulcers.

PMID:
24473429
[PubMed - indexed for MEDLINE]
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