Lipschütz

Lipschütz ulcer (also known as acute vulvar ulcer, ulcus vulvae acutum or Lipschütz disease) is a rare and generally benign condition characterized by the sudden onset of painful vulvar ulcers in young women, most often virgins. The exact cause of Lipschütz ulcer is unknown, but it is often associated with an acute infection or immune response.

Symptoms

The primary symptom of Lipschütz ulcer is a sudden, painful ulcer on the vulva. Other symptoms may include fever, malaise, and lymphadenopathy. The ulcers are typically unilateral and may be accompanied by vaginal discharge.

Causes

The exact cause of Lipschütz ulcer is unknown. However, it is often associated with an acute infection or immune response. Some studies suggest that it may be triggered by non-sexually transmitted infections, such as mononucleosis, or by an immune response to an infection elsewhere in the body.

Diagnosis

Diagnosis of Lipschütz ulcer is primarily based on clinical presentation. Laboratory tests may be used to rule out other conditions, such as sexually transmitted infections. A biopsy may be performed in some cases to confirm the diagnosis.

Treatment

Treatment for Lipschütz ulcer primarily involves managing symptoms. Pain relief may be provided through the use of analgesics. In some cases, topical steroids may be used to reduce inflammation. If an underlying infection is identified, appropriate antibiotics or antiviral medications may be prescribed.

Prognosis

The prognosis for Lipschütz ulcer is generally good. The ulcers typically heal without scarring within a few weeks. Recurrence is rare.

See also

• Vulvovaginitis
• Vulvar cancer
• Vulvar vestibulitis

References

Lipschütz Resources
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