Jerdan Kimberly, Aronson Iris, Hernandez Claudia, Fishman Patricia M, Groth John V
Department of Dermatology, University of Illinois College of Medicine, Chicago, IL 60612, USA.
Cutis. 2013 Jun;91(6):273-6.
Genital ulcerations are a rare clinical finding of Epstein-Barr virus (EBV) infection. We present the case of a 16-year-old adolescent girl who reported the onset of diarrhea, headaches, dysuria, and vaginal discharge along with vulvar ulcerations with edema. Laboratory studies revealed a high-quantitative EBV IgG and early antigen as well as a positive IgM antibody for EBV. Although the association between EBV and genital ulcerations is rare, physicians should be aware of this clinical presentation to exclude other infectious entities, to be reassured to accept negative testing, and to quell patient distress or concerns of abuse.
生殖器溃疡是爱泼斯坦-巴尔病毒（EBV）感染罕见的临床表现。我们报告了一例16岁少女的病例，该少女出现腹泻、头痛、排尿困难、阴道分泌物增多，同时伴有外阴溃疡及水肿。实验室检查显示EBV IgG和早期抗原定量高，以及EBV IgM抗体阳性。尽管EBV与生殖器溃疡之间的关联罕见，但医生应了解这种临床表现，以排除其他感染性疾病，放心接受阴性检测结果，并消除患者的痛苦或对受虐的担忧。
