[Acute Lipschütz-Chapin vulvar ulcer]

A 17-year-old female patient is described, who had a sexual intercourse, the only in her life, a year before. Hectic temperature has developed in the presence of an exacerbation of chronic decompensated tonsillitis; the general status has essentially deteriorated. A sharply painful ulcer, up to 2 cm in diameter, was seen on the lower third of the involved labium majus; Lactobacilli casei were isolated from the discharge from this ulcer. After 2 weeks of antibiotic and immunocorrective therapy a delicate atrophic cicatrix has formed. The factors that helped diagnose the Lipschütz-Chapin acute vulvar ulcer were exacerbation of a chronic focal infection, anemia, leucocytosis, thrombocytopenia, dysproteinemia, and disordered cellular and humoral immunity.