Centro Hospitalar Barreiro-Montijo, Barreiro, Portugal.
Rev Bras Ginecol Obstet. 2021 May;43(5):414-416. doi: 10.1055/s-0041-1729147. Epub 2021 Jun 2.
The diagnosis of genital ulcers remains a challenge in clinical practice. Lipschütz ulcer is a non-sexually transmitted rare and, probably, underdiagnosed condition, characterized by the sudden onset of vulvar edema along with painful necrotic ulcerations. Despite its unknown incidence, this seems to be an uncommon entity, with sparse cases reported in the literature. We report the case of an 11-year-old girl who presented at the emergency department with vulvar ulcers. She denied any sexual intercourse. The investigation excluded sexually transmitted infections, so, knowledge of different etiologies of non-venereal ulcers became essential. The differential diagnoses are extensive and include inflammatory processes, drug reactions, trauma, and malignant tumors. Lipschütz ulcer is a diagnosis of exclusion. With the presentation of this case report, the authors aim to describe the etiology, clinical course, and outcomes of this rare disease, to allow differential diagnosis of genital ulceration.
生殖器溃疡的诊断在临床实践中仍然具有挑战性。Lipschütz 溃疡是一种非性传播的罕见疾病，可能存在诊断不足的情况，其特征为外阴突然出现水肿，并伴有疼痛性坏死性溃疡。尽管其发病率未知，但这种疾病似乎并不常见，文献中报道的病例很少。我们报告了一例 11 岁女孩的病例，她因外阴溃疡到急诊科就诊。她否认有任何性行为。检查排除了性传播感染，因此了解非性病性溃疡的不同病因至关重要。鉴别诊断范围广泛，包括炎症过程、药物反应、创伤和恶性肿瘤。Lipschütz 溃疡是一种排除性诊断。通过本病例报告的介绍，作者旨在描述这种罕见疾病的病因、临床过程和结局，以帮助鉴别诊断生殖器溃疡。
