Ewha Med J.  2021 Jan;44(1):26-29. 10.12771/emj.2021.44.1.26.

Acute Vulvar Ulcer (Lipschutz Ulcer) in a Sexually Inactive 11-Yearold Girl

• Cho KW
• Kim SH
• Lee JH

• KMID: 2512411
• DOI: http://doi.org/10.12771/emj.2021.44.1.26

Abstract

Non-sexually acquired genital ulceration, also known as Lipschutz ulcer, is a rare condition that typically occurs in prepubertal and pubertal girls. It can be misdiagnosed as a sexually transmitted disease or even a sign of child abuse, causing great anxiety for patients and their families. It is often accompanied by systemic symptoms such as fever, myalgia, or lymphadenopathy. Several viruses such as Epstein-Barr virus, cytomegalovirus, and mumps virus have been associated with this entity. Furthermore, Mycoplasma pneumonia has rarely been linked to such ulcers in the literature. We present a case of Lipschutz ulcer in a sexually inactive 11-year-old girl.

Keyword

Female; Genital diseases; Ulcer; Lipschutz ulcer

Figure

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  Fig. 1 Single necrotic genital ulceration with eschar. (A) Admission day 1, (B) admission day 3, (C) admission day 5, and (D) admission day 8. Informed consent for medical publication of the clinical images was obtained from the patient and her parent.

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  Fig. 2 Ulcer was almost completely healed at 22 days without any sequelae. Informed consent for medical publication of the clinical images was obtained from the patient and her parent.

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