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 aden...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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