Acutal ulcer N76.6

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

Dieser Artikel auf Deutsch

Synonym(s)

acutal ulcer; acute vulvar ulcer; Lip protection genital ulceration

History
This section has been translated automatically.

Lip contactor, 1913

Definition
This section has been translated automatically.

Acutely occurring ulcerations in the genital area of younger women of unknown etiology.

Etiopathogenesis
This section has been translated automatically.

Virus infections, mixed bacterial infections and lack of hygiene are discussed as triggers. The occurrence of basic diseases such as Behçet's disease or atypical pneumonia has also been described.

Manifestation
This section has been translated automatically.

Especially with younger women, also with infants and toddlers.

Clinical features
This section has been translated automatically.

  • Chronic form: recurrent ulcerations of varying size, slow healing, especially in the introitus vaginae and large labia.
  • Gangrenous form: Rapidly growing, scab-covered, painful, possibly perforating, scarred ulcerations on the small labia. Acute onset, fever, regional swelling of the lymph nodes.
  • Miliary form: Small ulcerations on the edge of the large labia, on the perineum and the small labia.

Differential diagnosis
This section has been translated automatically.

General therapy
This section has been translated automatically.

Physical rest and bed rest.

External therapy
This section has been translated automatically.

For small ulcerations, external antiseptic or antibiotic therapy is sufficient. Sitting baths with disinfecting additives such as quinolinol (e.g. Chinosol 1:1000, R042 ), potassium permanganate (light pink) are helpful. In addition, brushing with disinfectant solutions such as Polyvidon-Iodine Solution R203 and ointment dressings with Polyvidon-Iodine Ointment (e.g. Braunovidone-Iodine) should be used. In case of accompanying intertrigo, brushing with drying aqueous disinfectant solutions (e.g. 0.5% methylrosanilinium chloride solution [gentian violet]) is indicated.

Internal therapy
This section has been translated automatically.

In the case of extensive ulcerations and severe clinical progressions, antibiotic administration after antibiogram, possibly also short-term in combination with systemic glucocorticoids such as prednisolone equivalent (e.g. Solu Decortin H) 40-60 mg/day in decreasing doses.

Literature
This section has been translated automatically.

  1. Korting GW et al (1979) Ulcus vulvae acutum with cold agglutinin-positive, mycoplasma-related atypical pneumonia. Dermatologist 30: 550-552
  2. Lipschütz B (1913) About a peculiar ulcer of the female genital (Ulcus vulvae acutum). Arch Dermatol Syphilis (Vienna) 114: 363-395
  3. Lip contactor B (1918) About vulvae acutum. Wiener klin Weekly 31: 461-464
  4. Pelletier F et al (2003) Lip protection genital ulceration: a rare manifestation of paratyphoid fever. Eur J Dermatol 13: 297-298
  5. Torok L et al (2000) Ulcus vulvae acutum. Cutis 65: 387-389

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020