Christl J, Alaniz V I, Appiah L, Buyers E, Scott S, Huguelet P S
Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Section of Pediatric and Adolescent Gynecology, Children's Hospital Colorado, Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
J Pediatr Adolesc Gynecol. 2021 Jun;34(3):418-420. doi: 10.1016/j.jpag.2021.02.098. Epub 2021 Feb 15.
Vulvar aphthous ulcers have been associated with various prodromal viral illnesses. We describe the case of an adolescent girl who developed vulvar aphthous ulcers during infection with Coronavirus, SARS-CoV-2.
A 19-year-old girl presented to the emergency department with cough, sore throat, fevers, and rash, and tested positive for COVID-19. She re-presented 2 days later with vulvar pain and was found to have a vulvar aphthous ulcer. She was admitted for pain control and treated with oral steroids. Improvement in her vulvar pain was noted, along with resolution of fevers, cough, and rash.
This case illustrates the novel association of COVID-19 with vulvar aphthous ulcers in adolescents. Use of oral steroids for symptomatic management of COVID-19 led to rapid clinical improvement.
外阴阿弗他溃疡与多种前驱病毒性疾病有关。我们描述了一名在感染冠状病毒SARS-CoV-2期间出现外阴阿弗他溃疡的青春期女孩的病例。
一名19岁女孩因咳嗽、咽痛、发热和皮疹到急诊科就诊，COVID-19检测呈阳性。两天后她因外阴疼痛再次就诊，发现有外阴阿弗他溃疡。她因疼痛控制入院，并接受口服类固醇治疗。外阴疼痛有所改善，发热、咳嗽和皮疹也消退了。
本病例说明了COVID-19与青少年外阴阿弗他溃疡之间的新关联。使用口服类固醇对症治疗COVID-19导致临床迅速改善。
