Lipschütz Ulcer in a 10-Year-Old Girl Following Pharyngotonsillitis: Case Report of a Rare Cause of Acute Genital Ulceration in Pediatrics.
Alessandra Casati, Lucia Lucchini, Erica A Mussi et al.
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Case in brief
A 10-year-old girl developed severe perineal pain, dysuria, and fever after pharyngotonsillitis. Examination showed vulvar ulcers, and the presentation was diagnosed as Lipschütz ulcers associated with the preceding illness. With supportive therapy, her symptoms and lesions gradually improved.
What made this case unusual
The acute, painful vulvar ulcers occurred in a prepubertal child following pharyngotonsillitis, a presentation that can resemble infectious or autoimmune disease.
Diagnostic / clinical pearl
In a child with acute vulvar ulcers, consider Lipschütz ulcers, particularly after a systemic illness, to help avoid unnecessary treatment.