Hueto Najarro Alba, González García Gonzalo, Breton Hernández Patricia, Zarate Tejero Isabel, Lanuza Arcos Rebeca, Ferrer Santos Pilar
Servicio de Pediatría, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.
Servicio de Ginecología y Obstetricia, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.
Arch Argent Pediatr. 2017 Dec 1;115(6):e436-e439. doi: 10.5546/aap.2017.e436.
Genital ulcers are a rare entity in pediatric consultation, but they generate great family anxiety. Lipschütz ulcers are acute, painful, and self-limiting vulvar ulcers of unknown cause. These ulcers appear in young women who have not had previous sexual intercourse or after a period of sexual abstinence. We present a 10-year-old girl with painful vulvar ulcers with a 3-day history of diarrhea and fever before the onset of the lesions. A complete anamnesis and detailed physical examination were carried out and complementary tests were performed to investigate sexually and non-sexually transmitted disease; the results were negative. Symptomatic treatment was started; at one-month follow-up a complete resolution of ulcers confirmed the diagnosis of ulcer of Lipschütz.
生殖器溃疡在儿科门诊中较为罕见,但会引起极大的家庭焦虑。利普许茨溃疡是原因不明的急性、疼痛性且具有自限性的外阴溃疡。这些溃疡出现在未曾有过性交的年轻女性或禁欲一段时间后的女性身上。我们报告一名10岁女孩,其外阴溃疡疼痛,在溃疡出现前有3天腹泻和发热病史。进行了完整的病史采集和详细的体格检查,并进行了补充检查以排查性传播疾病和非性传播疾病;结果均为阴性。开始进行对症治疗;在1个月的随访中,溃疡完全愈合,确诊为利普许茨溃疡。