Acute LipscMtz-Chapin vulvar ulcer


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Background. Acute Lipschütz vulvar ulcer (ulcus vulvae acutum) is a rare disease that occurs mainly in girls and is manifested by single or multiple painful ulcers on the inner surface of the labia. This pathology should be differentiated from other genital erosive and ulcerative lesions, including sexually transmitted infections. Case report. The paper describes a clinical case of acute Lipschütz- Chapin vulvar ulcer in a 14-year-old patient who was misdiagnosed as having herpesvirus infection. Conclusion. The characteristic clinical manifestations of the disease make it possible to timely make an accurate diagnosis, to initiate treatment, and to conduct high-quality rehabilitation.

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作者简介

Yulia Kuznetsova

Ural Research Institute of Dermatovenereology and Immunopathology

Email: kjn@mail.ru
MD, associate Professor, leading researcher

Natalya Zilberberg

Ural Research Institute of Dermatovenereology and Immunopathology

Email: zilberberg@mail.ru
MD, Professor, Deputy Director for Science

Igor Kuklin

Ural Research Institute of Dermatovenereology and Immunopathology

Email: kuklin71@mail.ru
candidate of medical sciences, associate professor, senior researcher of scientific clinical Department of dermatology

Ekaterina Kuznetsova

Ural State Medical University

Email: kksk9@rambler.ru
the student of the group number 604 of General medicine faculty

参考

  1. Lynch P.J., Moyal-Barracco M., Scurry J., Stockdale C. 2011 ISSVD terminology and classification of vulvar dermatological disorders: an approach to clinical diagnosis. J. Low. Genit. Tract Dis. 2012; 16(4): 339-44.
  2. Lipschütz B. Über eine eigenartige Geschwürsform des weiblichen Genitales (ulcus vulvae acutum). Arch. Dermatol. Syph. (Berlin). 1913; 114: 363-95.
  3. Burguete Archel E., Ruiz Goikoetxea M., Recari Elizalde E., Beristain Rementeria X., Gomez Gomez L., Iceta Lizarraga A. Lipschütz ulcer in a 17-month-old girl: a rare manifestation of Epstein-Barr primoinfection. Eur. J. Pediatr. 2013; 172(8): 1121-3.
  4. Levy Bencheton A., Agostini A., Mortier I., Sadoun C., Gamerre M. Acute vulvar ulcer of Lipschütz: a misdiagnosis entity. Gynecol. Obstet. Fertil. 2011; 39(3): e58-60.
  5. Васильев М.М., Денисова В.М. Эпидемиология, диагностика и лечение больных с эрозивно-язвенными поражениями половых органов, ассоциированными с бактериальной инфекцией, а также с вирусами из семейства герпесов. Клиническая дерматология и венерология. 2009; 1: 16-22.
  6. Eva L.J. Screening and follow up of vulval skin disorders. Best Pract. Res. Clin. Obstet. Gynaecol. 2012; 26(2): 175-88.
  7. Кунгуров Н.В., ред. Сифилис и инфекции, передаваемые половым путем (атлас). Екатеринбург: Уральский научно-исследовательский институт дерматовенерологии и иммунопатологии, Уральский государственный медицинский университет; 2015. 184с.

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