Dermatology clinical case

  • Pedro Brandão Obstetrics and Gynecology Department, Centro Hospitalar Tâmega e Sousa
  • Inês Falcão-Reis Obstetrics and Gynecology Department, Centro Hospitalar Entre Douro e Vouga
  • Cátia Rodrigues Obstetrics and Gynecology Department, Centro Hospitalar Entre Douro e Vouga
  • Vânia Ferreira Obstetrics and Gynecology Department, Centro Hospitalar Entre Douro e Vouga
  • Isabel Sá Obstetrics and Gynecology Department, Centro Hospitalar Entre Douro e Vouga
Keywords: Lipschütz ulcers, Ulcus vulvae acutum, Vulvar ulcers

Abstract

Ulcus Vulvae Acutum or Lipschütz ulcer is a rare cause of acute vulvar ulcer that usually affects young, non-sexually active women and consists on the sudden emergence of vulvar ulcers some days after an influenza-like syndrome, usually caused by Epstein-Barr virus. Despite its exuberant presentation, such ulcers are benign and self-limited. Diagnosis is clinical and treatment, symptomatic. Lesions typical resolve within a few weeks, leaving no scars.
The authors describe the case of a 17-year-old, sexually active female adolescent with Lipschütz ulcers.

References

Bandow GD: Diagnosis and Management of Vulvar Ulcers. Dermatol. Clin. 2010; 28: 753–763.

Bohl TG: Vulvar Ulcers and Erosions: A Clinical Approach. Clin. Obstet. Gynecol. 2015; 58: 492–502.

Drummond C: Common vulval dermatoses. Aust. Fam. Physician 2011; 40: 490–6.

Alpsoy E: Behçet’s disease: A comprehensive review with a focus on epidemiology, etiology and clinical features, and management of mucocutaneous lesions. J. Dermatol. 2016; 43: 620–632.

Barret M, de Parades V, Battistella M, et al: Crohn’s disease of the vulva. J. Crohn’s Colitis 2014; 8: 563–570.

Vieira-Baptista P, Lima-Silva J, Beires J, et al: Lipschütz ulcers: should we rethink this? An analysis of 33 cases. Eur. J. Obstet. Gynecol. Reprod. Biol. 2016; 198: 149–152.

Published
2019-01-02
Section
What is your Diagnosis?