HistoryThis section has been translated automatically.
DefinitionThis section has been translated automatically.
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ClassificationThis section has been translated automatically.
- Major criteria (both must be met):
- Acute onset
- Exclusion of other causes
- Minor criteria (at least 2 pieces)
- Vestibule or labia minora affected
- Virgo or last GV more than 3 months ago
- General flu symptoms
- Systemic infection in the last 2-4 weeks
EtiopathogenesisThis section has been translated automatically.
Triggers discussed are viral infections (in 30% evidence of an acute EBV infection), mixed bacterial infections, poor hygiene. Occurrence in underlying diseases such as Behçet 's disease or atypical pneumonia has also been described.
ManifestationThis section has been translated automatically.
Clinical featuresThis section has been translated automatically.
- Chronic form: Recurrent ulcerations of varying size, slowly healing, especially in the region of the vaginal introitus and the labia majora.
- Gangrenous form: Rapidly growing, scab-covered, painful, possibly perforating, scarring healing ulcerations on the labia minora. Acute onset, fever, regional swelling of lymph nodes.
- Miliary form: small ulcerations on the border of the greater labia, on the perineum and the lesser labia.
- Histology: lymphocytic vasculitis
Differential diagnosisThis section has been translated automatically.
General therapyThis section has been translated automatically.
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LiteratureThis section has been translated automatically.
- Chen W et al. (2019) Lipschütz genital ulcer revisited: is juvenile gangrenous vasculitis of the scrotum the male counterpart? Journal of the European Academy of Dermatology and Venereology 33.9: 1660-1666.
- Korting GW et al (1979) Ulcus vulvae acutum with cold agglutinin-positive, mycoplasma-related atypical pneumonia. Dermatologist 30: 550-552
- Lipschütz B (1913) On a peculiar form of ulceration of the female genitalia (ulcus vulvae acutum). Arch Dermatol Syphilis (Vienna) 114: 363-395
- Lipschütz B (1918) On vulvae acutum. Wiener klin Wochenschr 31: 461-464
- Pelletier F et al (2003) Lipschutz genital ulceration: a rare manifestation of paratyphoid fever. Eur J Dermatol 13: 297-298
- Torok L et al (2000) Ulcus vulvae acutum. Cutis 65: 387-389
Incoming links (6)Acutal ulcer; Herpes simplex recidivans; Povidone-iodine solution 10%.; Pseudoveneric ulcer; Quinolinol sulphate monohydrate solution 0,1 % (nrf 11.127.); Vulvovaginitis herpetica;
Outgoing links (13)Antibiogram; Antibiotics; Behçet's disease; Gangrene; Gentian violet; Glucocorticosteroids; Hand-foot-mouth disease; Herpes simplex virus infections; Intertrigo; Molle ulcer; ... Show all
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