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Vulvar Ulcers in Children: Dramatic But Self-Limited.

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Lipschutz ulcers, painful genital lesions in children, often appear with respiratory infections. These self-limited ulcers typically heal within 10 days without scarring.

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Area of Science:

  • Pediatric Gynecology
  • Dermatology
  • Infectious Disease

Background:

  • Lipschutz ulcers are acute, non-venereal ulcers of the vulva.
  • Diagnosis can be challenging due to their painful nature and potential for misdiagnosis.

Purpose of the Study:

  • To describe the experience in diagnosing and managing Lipschutz ulcers in children.
  • To increase awareness among healthcare providers regarding this condition.

Main Methods:

  • Retrospective data review of patients with vulvar ulcers at a pediatric and adolescent gynecology clinic.
  • Inclusion criteria: referral for vulvar ulcer; data collected on symptoms, presentation, and resolution.

Main Results:

  • Seven non-sexually active girls (average age 12.25 years) presented with vulvar ulcers during upper respiratory infections.
  • Ulcers were painful, up to 2 cm, initially bullous with a scab, then ulcerated with a white base, healing within 10 days.
  • Two patients experienced recurrences after flu-like symptoms; none met criteria for Behcet disease.

Conclusions:

  • Lipschutz ulcers are self-limited genital lesions that cause significant anxiety.
  • Pediatricians and gynecologists should recognize, diagnose, and reassure patients, avoiding unnecessary treatments.