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Related Concept Videos

Peptic Ulcer Disease I: Introduction01:30

Peptic Ulcer Disease I: Introduction

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Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
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Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
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Peptic Ulcer Disease II: Pathophysiology01:28

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Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
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[Lipschütz ulcers: a pediatric case report].

Alba Hueto Najarro1, Gonzalo González García2, Patricia Breton Hernández3

  • 1Servicio de Pediatría, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España. ahuetonajarro@gmail.com.

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|November 1, 2017
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Summary

Lipschütz ulcers are acute, painful vulvar ulcers in young women. This case highlights a 10-year-old girl

Keywords:
Lipschütz ulcerpediatricsulcus vulvae acutum

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Area of Science:

  • Pediatric Dermatology
  • Gynecologic Pathology

Background:

  • Genital ulcers are uncommon in pediatric cases, causing significant family distress.
  • Lipschütz ulcers are acute, self-limiting vulvar ulcers of unknown etiology, typically affecting young nulliparous women or those abstinent from sexual activity.

Observation:

  • A 10-year-old girl presented with a 3-day history of diarrhea and fever preceding the onset of painful vulvar ulcers.
  • Clinical examination and investigations for sexually and non-sexually transmitted diseases yielded negative results.

Findings:

  • The patient received symptomatic treatment for the vulvar ulcers.
  • Complete resolution of the ulcers was observed within one month, confirming the diagnosis of Lipschütz ulcers.

Implications:

  • This case underscores the importance of considering Lipschütz ulcers in the differential diagnosis of pediatric vulvar ulcers, even in the absence of sexual activity.
  • Accurate diagnosis and symptomatic management lead to favorable outcomes, alleviating family anxiety associated with this condition.