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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 10

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Ginecol Obstet Mex 2022; 90 (10)

Necrotic type of Lipschütz ulcer

Benito-Vielba M, Pellicer A, Baquedano-Mainar L, Lapresta-Moros M, Colmenarejo F

Language: Spanish
References: 15
Page: 864-868
PDF size: 200.02 Kb.


ABSTRACT

Introduction: Lipschütz ulcers are an infrequent cause of genital ulcer, of spontaneous relief and almost always benign, although in some patients they may leave genital scars. They usually appear in young women, before the onset of active sexual life, coinciding with a catarrhal or flu-like condition.
Clinical case: 18-year-old female patient with a painful vulvar ulcer, coinciding with an episode of acute tonsillitis and fever of 38 ºC. The patient denied having had sexual intercourse. The ulcer was 3 to 4 cm, deep, purulent, with opening of the right labium minora and with a significant necrotic component. For pain control she was prescribed corticosteroids, oral doxycycline, lidocaine cream and anti-inflammatory drugs. Laboratory tests ruled out sexually transmitted infection. At the end of the prescribed therapeutic scheme the evolution was favorable, with disappearance of symptoms, but with a sequel: opening of the right labium majus.
Conclusions: Lipschütz ulcer is a rare cause of vulvar ulcer. Its treatment consists of symptom control and it almost always heals within 4 to 6 weeks, leaving no lesions. The diagnosis can only be established after other more frequent causes of vulvar ulceration have been excluded.


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