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Year : 2021  |  Volume : 22  |  Issue : 2  |  Page : 154-156

Lipschutz ulcer – Nonsexual acute genital ulceration in a 10-year-old girl

Department of Dermatology, Venereology, Leprosy, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India

Correspondence Address:
S R Radhika
No. 12, 1st Cross, Sri Krupa Layout, Abbigere, Chikkabanavara Post, Bengaluru - 560 090, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijpd.IJPD_80_20

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Acute genital ulcers are painful and distressing. Lipschutz ulcer (LU), also known as ulcus vulvae acutum, is a rare and underdiagnosed entity presenting as an acute painful vulvar ulcer in young women. Although the etiology is not known, recent reports have associated it with infections such as Epstein–Barr virus, cytomegalovirus (CMV), Mycoplasma pneumoniae, Mycoplasma fermentans, mumps, and parvovirus B19. The diagnosis is made by exclusion, after ruling out the usual causes of genital ulcerations such as sexually transmitted diseases, autoimmune causes, trauma, drug reactions, and local manifestations of systemic illnesses. We report the case of a 10-year-old girl who developed flu-like symptoms, followed by painful vulvar ulcers within 2 days. Lipshutz ulcer must br considered among the causes of genital ulcers.

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