Schindler Leal Anucha Andrade, Piccinato Carla Azevedo, Beck Ana Paula Avritscher, Gomes Mariano Tamura Vieira, Podgaec Sergio
Hospital Israelita Albert Einstein, Av. Albert Einstein, 627, Morumbi, São Paulo, SP, 05652-900, Brazil.
Arch Gynecol Obstet. 2018 Nov;298(5):927-931. doi: 10.1007/s00404-018-4866-6. Epub 2018 Aug 24.
Lipschütz ulcers (LU) were first described as rare vulvar ulcerations that affect adolescents without previous history of sexual contact. However, more LU patients have been identified in acute genital ulcers (AGU) services in Europe.
To review cases of AGU and analyze the occurrence of LU in the Ob/Gyn Emergency Department of a Brazilian private hospital, using the currently used diagnostic criteria.
All female patients who sought our service with AGU complaints from January 2009 to July 2015 were selected and had their medical records reviewed, considering the clinical data and some diagnostic criteria, that included: < 20 years old, first AGU episode, sudden onset, absence of sexual contact 3 months before onset and the absence of immunodeficiency.
273 patients eligible for analysis were identified according to the criteria and 12 (4.39%) of them were identified with the possible diagnosis of LU. By applying less restrictive criteria that allowed the inclusion of patients of any age and sexual status, 98 were identified (35.89%).
Despite being described as a rare pathology, ours and previous results indicate a considerable number of AGU cases, suggesting that LU should be better known and considered for differential diagnosis.
利普许茨溃疡（LU）最初被描述为一种罕见的外阴溃疡，影响无性接触史的青少年。然而，在欧洲的急性生殖器溃疡（AGU）诊疗机构中，已发现更多的LU患者。
运用当前使用的诊断标准，回顾AGU病例并分析巴西一家私立医院妇产科急诊科中LU的发生情况。
选取2009年1月至2015年7月期间因AGU症状前来就诊的所有女性患者，根据临床数据和一些诊断标准对她们的病历进行回顾，这些标准包括：年龄＜20岁、首次AGU发作、起病突然、发病前3个月无性生活且无免疫缺陷。
根据标准确定了273例符合分析条件的患者，其中12例（4.39%）可能被诊断为LU。通过采用限制较少的标准，纳入任何年龄和性状况的患者，共确定了98例（35.89%）。
尽管LU被描述为一种罕见的病理情况，但我们的研究结果和之前的结果表明，AGU病例数量相当可观，这表明LU应得到更多了解并纳入鉴别诊断。
