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Plaquing of Herpes Simplex Viruses
Published on: November 5, 2021
Case Report: Not All Genital Ulcers Are Herpetic
Aphthous genital ulcers (AGUs) are a common cause of genital lesions in children, distinct from herpes simplex virus (HSV). Accurate diagnosis of AGUs is crucial to avoid misdiagnosis and unnecessary concern for child abuse.
Area of Science:
- Pediatric Dermatology
- Adolescent Medicine
- Infectious Diseases
Background:
- Genital lesions in children can be caused by herpes simplex virus (HSV), but other etiologies are possible, especially in non-sexually active individuals.
- Herpes simplex virus (HSV) is a frequent cause of genital lesions, necessitating careful differential diagnosis in pediatric patients.
Observation:
- A 13-year-old female presented with genital lesions, initially suspected to be herpes simplex virus (HSV) infection.
- Initial clinical suspicion and gynecological consultation suggested herpes simplex virus (HSV), but subsequent testing for HSV and other sexually transmitted infections was negative.
Findings:
- Aphthous genital ulcers (AGUs) were diagnosed in an adolescent female after negative herpes simplex virus (HSV) and sexually transmitted infection testing.
- The case highlights aphthous genital ulcers (AGUs) as a critical differential diagnosis for genital lesions in adolescents.
Implications:
- Accurate diagnosis of aphthous genital ulcers (AGUs) is vital to prevent misdiagnosis of herpes simplex virus (HSV) and avoid implications of child abuse.
- Increased awareness and inclusion of aphthous genital ulcers (AGUs) in the differential diagnosis are essential for appropriate patient management and referrals.
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