What is a Lipschultz Ulcer?
Discussion
Acute genital ulcers (AGU) are much less common in sexually-naive women than sexually experienced or active women. The differential diagnosis of AGU is large. For sexually active women Herpes simplex virus is the most common cause. Sexually transmitted infections are also included in this differential. In addition to the pain, AGUs can cause distress for the patient and family as possible sexual abuse must be considered.
The differential diagnosis of AGU in non-sexually active women includes:
Aphthosis
Lipschutz ulcer
Idiopathic
Autoimmune or inflammatory diseases
Behcet disease
Bullous pemphigoid
Inflammatory bowel disease
MAGIC syndrome
Pemphigus vulgaris
Pyoderma gangrenosum
Infection
Epstein Barr virus
Cytomegalovirus
Influenza A
Mumps
Mycoplasma
Paratyphoid
Salmonella
SARS-CoV-2 (COVID 19) – possibly?
Medication
Fixed drug eruption
Non-steroidal anti-inflammatory drugs
Trauma
Irritation, chronic
Trauma
Learning Point
Lipschutz ulcers (also known as ulcus vulvae acutum) were described in 1913 by Benjamin Lipschutz an Austrian microbiologist and dermatologist. They are ulcerations in young adolescents without a history of sexual activity. The painful acute ulcers are described as “…deep, necrotic with a purplish single or multiple margins, presenting in a mirror [kissing] pattern, and primary affect the medial face of the labia minora.” Fever and malaise commonly occur with it and other signs and symptoms can occur including adeno...
Source: PediatricEducation.org - Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
More News: Acetaminophen | Austria Health | Autoimmune Disease | Behcet's Disease | Chemistry | Chronic Pain | Cold Sores | COVID-19 | Cytomegalovirus | Databases & Libraries | Dermatology | Diabetes | Diabetes Type 2 | Diabetic Ulcers | Education | Emergency Medicine | Endocrinology | Epidemics | Epidemiology | Genital Herpes | Girls | Headache | Herpes | Inflammatory Bowel Disease | Influenza | Laboratory Medicine | Learning | Lidoderm | Lortab | Microbiology | Migraine | Mumps | OBGYN | Pain | Pain Management | Pediatrics | Pemphigoid | Pemphigus | Salmonella | SARS | Sexual Abuse | Skin | STDs | Substance Abuse | Universities & Medical Training | Urinary Tract Infections | Vasculitis | Women