Genital ulcers: it is not always simplex …

Abstract

Patients with vulval aphthae, also termed Lipschütz ulcers, often present to genitourinary medicine clinics. Typically, these ulcers present as acute, painful, vulval ulcers in young women and adolescents. The aetiology is unknown, and often these ulcers are accompanied by flu-like symptoms. Previous case reports have linked such lesions to acute viral infections such as Epstein-Barr virus, cytomegalovirus and influenza A. We report the first case of influenza B virus and adenovirus infections associated with this presentation.

Úlcera Vulvar Aguda De Lipschütz

“…La úlcera vulvar aguda normalmente se va a presentar en niñas, adolescentes o mujeres jóvenes que no han tenido relaciones sexuales previas [12][13][14][15] , mientras que si aparece en una mujer adulta normalmente va a ser tras un periodo de abstinencia. En este último caso es necesario hacer un adecuado diagnóstico diferencial con enfermedades de transmisión sexual y con procesos neoplásicos.…”

Epstein-Barr Virus-related Acute Genital Ulcer Successfully Treated with Colchicine

“…The association of some cases of AGU with EBV infection was suggested in 1977 and, since then, approximately 40 EBV-linked cases have been reported, mostly during primary infection or unspecified EBV infection (4), the involvement of EBV being reported in approximately 30% of AGU (1). Other infectious agents have also been involved in some cases, including CMV (7), Toxoplasma gondii, Mycoplasma pneumonia (6), Streptococcus spp, Salmonella enterica (8), mumps, influenza A and B virus, adenovirus (9), and Borrelia burgdorferi (10).…”

Simultaneous genital ulcer and meningitis: a case of EBV infection

“…Dermatologic manifestations of EBV infection are also diverse and include infectious mononucleosis, papular acrodermatitis of childhood (Gianotti–Crosti syndrome), hypersensitivity to mosquito bites, oral hair leukoplakia, histiocytic necrotizing lymphadenitis (Kikuchi–Fujimoto syndrome), hydroa vacciniforme, and genital ulcers. 9 , 12 , 13 …”