Do you recognize this diagnostic key? part 2
DOI:
https://doi.org/10.29176/30284163.2026Keywords:
Genital diseases, Genital ulcer, Sexually transmitted diseasesAbstract
We present the case of an 11-year-old female with a three-day history of a painful genital ulcer following an upper respiratory tract infection. Her medical history highlights that she is a sexually inactive patient. After ruling out sexually transmitted infections causing vulvar ulcers, the diagnosis of Lipschütz ulcer is made. It is important to note that not all genital ulcers are associated with venereal diseases.
Author Biographies
María Angélica Macías, Universidad de Santiago de Chile
Dermatóloga y profesora titular, Universidad de Santiago de Chile, Facultad de Ciencias Médicas.
Denise Tabak, Universidad de Santiago de Chile
Residente de Dermatología, Universidad de Santiago de Chile, Facultad de Ciencias Médicas.
References
Arellano J, Fuentes E, Moreno P, Corredoira Y. Úlcera de Lipschütz, un diagnóstico para considerar en la población pediátrica. Arch Argent Pediatr. 2019;117(3):e305-8. https://doi.org/10.5546/aap.2019.e305
Vismara SA, Lava SAG, Kottanattu L, Simonetti GD, Zgraggen L, Clericetti CM, et al. Lipschütz’s acute vulvar ulcer: a systematic review. Eur J Pediatr. 2020;179(10):1559-67. https://doi.org/10.1007/s00431-020-03647-y
Ruipérez-Pacheco E, Ramírez-Mena M, GarcíaSantos FJ, Bellón-del-Amo M, CoronadoMartín PJ, Herráiz-Martínez MA. Úlcera vulvar aguda de Lipschütz. Rev Chil Obstet Ginecol. 2019;84(3):231-5. http://dx.doi.org/10.4067/S0717-75262019000300231
Huppert JS. Lipschutz ulcers: evaluation and management of acute genital ulcers in women. Dermatol Ther. 2010;23(5):533-40. https://doi.org/10.1111/j.1529-8019.2010.01356.x
Morgado-Carrasco D, Bosch-Amate X, FustàNovell X, Giavedoni P. Lipschütz ulcer: an acute noninfectious genital ulcer to bear in mind in adult women. Actas Dermosifiliogr (Engl Ed). 2020;111(7):624-6. https://doi.org/10.1016/j.ad.2018.12.011
Lehman JS, Bruce AJ, Wetter DA, Ferguson SB, Rogers RS 3rd. Reactive nonsexually related acute genital ulcers: Review of cases evaluated at Mayo Clinic. J Am Acad Dermatol. 2010;63(1):44-51. https://doi.org/10.1016/j.jaad.2009.08.038
Burguete Archel E, Ruiz Goikoetxea M, Recari Elizalde E, Beristain Rementería X, Gómez Gómez L, Iceta Lizarraga A. Lipschütz ulcer in a 17-monthold girl: a rare manifestation of Epstein-Barr primoinfection. Eur J Pediatr. 2013;172(8):1121-3. https://doi.org/10.1007/s00431-013-2013-8
Farhi D, Wendling J, Molinari E, Raynal J, Carcelain G, Morand P, et al. Non-sexually related acute genital ulcers in 13 pubertal girls: a clinical and microbiological study. Arch Dermatol. 2009;145(1):38-45. https://doi.org/10.1001/archdermatol.2008.519
Pelletier F, Aubin F, Puzenat E, Deprez P, Blanc D, Estavoyer JM, et al. Lipschütz genital ulceration: a rare manifestation of paratyphoid fever. Eur J Dermatol. 2003;13(3):297-8.
Luque-González P, Azcona-Sutil L, Vargas-Gálvez D, Carmona-Domínguez E, Barroso-Tudela C, Cabezas-Palacios MN. Úlcera de Lipschütz: reporte de un caso y revisión bibliográfica. Ginecol Obstet Méx. 2020;88(9):644-50. https://doi.org/10.24245/gom.v88i9.4102
de Castro Coelho F, Amaral M, Correia L, Nunes Campos M, Paula T, Borges A, et al. Lipschütz genital ulceration as initial manifestation of primary Sjögren’s syndrome. Case Rep Obstet Gynecol. 2018;2018:3507484. https://doi.org/10.1155/2018/3507484
García Reymundo M, Montero Salas A, González Álvarez CM, Real Terrón R. Ulcera de Lipschütz: causa poco conocida de úlcera genital aguda. An Pediatr (Barc). 2010;72(6):443-4. https://doi.org/10.1016/j.anpedi.2010.02.014
Bencheton LA, Agostini A, Mortier I, Sadoun C, Gamerre M. Ulcère de Lipschütz, un diagnostic mèconmu. Gynecol Obstet Fertil. 2011;39(3):e58-60. https://doi.org/10.1016/j.gyobfe.2010.04.017
De Labaig Revert A, Guzmán Muñoz M, Redondo Escudero S, Martín Gutiérrez S, Muñoz Díaz MM, Menéndez Fuster JM. Úlceras de Lipschütz: cómo reconocerlas y tratarlas. Prog Obstet Ginecol. 2021;64(4):164-7
How to Cite
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 María Angélica Macías, Denise Tabak

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.



