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Ginecología y obstetricia de México

Print version ISSN 0300-9041


LUQUE-GONZALEZ, Pablo et al. Lipschütz Ulcer: a case report and a literature review. Ginecol. obstet. Méx. [online]. 2020, vol.88, n.9, pp.644-650.  Epub Oct 04, 2021. ISSN 0300-9041.


Lipschütz Ulcers are painful, acute onset and self-limiting vulvovaginal lesions that can frequently be associated with prodromal symptoms, disappearing in 2-6 weeks without any sequelae. 70% of cases present idiopathic etiopathogenesis, and are related to Epstein-Barr virus, among others. The diagnosis is made by exclusion and its treatment is based on symptomatic control and the promotion of correct healing, using analgesics, cicatrizers and antiseptics.


A 15-year-old girl reported the acute apparition of ulcerative vulvar lesions coinciding with systemic catarrhal symptoms. Local treatment with healing, antiseptic and anti-inflammatory lotions was prescribed, and after three weeks, she was reevaluated, observing the disappearance of the lesions and the negativity of the tests to rule out infectious origin, for which she was diagnosed with a Lipschütz ulcer.


Lipschütz ulcer is rare and children are the ones who suffer most from it. Due to the spontaneous disappearance character and the youthfulness of the patients, it is decisive to establish the correct differential diagnosis.

Keywords : Ulcerative vulvar lesions; Prodromal symptoms; Epstein Barr virus; Analgesics; Antiseptics.

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