2020, Number 09
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Ginecol Obstet Mex 2020; 88 (09)
Lipschütz Ulcer: a case report and a literature review
Luque-González P, Azcona-Sutil L, Vargas-Gálvez D, Carmona-Domínguez E, Barroso-Tudela C, Cabezas-Palacios MN
Language: Spanish
References: 14
Page: 644-650
PDF size: 265.17 Kb.
ABSTRACT
Background: Lipschütz Ulcers are painful, acute onset and self-limiting vulvovaginal
lesions that can frequently be associated with prodromal symptoms, disappearing in
2-6 weeks without any sequelae. 70% of cases present idiopathic etiopathogenesis,
and are related to Epstein-Barr virus, among others. The diagnosis is made by exclusion
and its treatment is based on symptomatic control and the promotion of correct
healing, using analgesics, cicatrizers and antiseptics.
Case Report: A 15-year-old girl reported the acute apparition of ulcerative
vulvar lesions coinciding with systemic catarrhal symptoms. Local treatment with
healing, antiseptic and anti-inflammatory lotions was prescribed, and after three
weeks, she was reevaluated, observing the disappearance of the lesions and the
negativity of the tests to rule out infectious origin, for which she was diagnosed
with a Lipschütz ulcer.
Conclusions: Lipschütz ulcer is rare and children are the ones who suffer most
from it. Due to the spontaneous disappearance character and the youthfulness of the
patients, it is decisive to establish the correct differential diagnosis.
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