Department of Dermatology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.
J Cutan Med Surg. 2010 Jan-Feb;14(1):33-7. doi: 10.2310/7750.2009.08060.
Aphthous vulvar ulcers are painful ulcerations on the genital mucosa frequently accompanied by systemic symptoms. They are most commonly reported in young women and adolescents without a history of sexual contact. Diagnosis is made by exclusion of more common causes, and treatment for this self-limited condition is mainly symptomatic.
Clinicians should be aware of this rare condition to avoid misdiagnoses and unwarranted investigations into sexual abuse or false accusations of sexual activity.
We report a case of an 11-year-old girl with systemic symptoms and vulvar ulcers of unknown etiology.
The patient's illness was consistent with previous reports that vulvar ulcers can occur without sexual transmission or a documented infectious cause.
A lack of general knowledge regarding this entity may lead to its exclusion from the differential diagnosis of vulvar ulcers in this patient population. Aphthous ulcers should be strongly considered in any adolescent with vulvar ulcers.
阿弗他外阴溃疡是生殖器黏膜上的疼痛性溃疡，常伴有全身症状。它们最常发生在没有性接触史的年轻女性和青少年中。通过排除更常见的原因来做出诊断，这种自限性疾病的治疗主要是对症治疗。
临床医生应该意识到这种罕见的情况，以避免误诊以及对性虐待或虚假性行为指控的不必要调查。
我们报告了一例 11 岁女孩，有全身症状和外阴溃疡，病因不明。
患者的病情与以往的报告一致，即外阴溃疡可在无性传播或无明确感染原因的情况下发生。
对这种疾病缺乏一般认识可能导致在该患者人群中排除外阴溃疡的鉴别诊断。任何患有外阴溃疡的青少年都应强烈考虑阿弗他溃疡。
