Lipschütz ulcer: Difference between revisions
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{{Infobox medical condition | |||
[[File:Lipschutz_ulcer_original_image.jpg|thumb| | | name = Lipschütz ulcer | ||
| image = [[File:Lipschutz_ulcer_original_image.jpg|left|thumb|Lipschütz ulcer]] | |||
| caption = A typical presentation of a Lipschütz ulcer | |||
| field = [[Gynecology]] | |||
| synonyms = Ulcus vulvae acutum, acute genital ulceration | |||
| symptoms = Painful [[genital ulcer]]s, fever, [[lymphadenopathy]] | |||
| complications = Secondary [[infection]], scarring | |||
| onset = Sudden | |||
| duration = Typically 2–6 weeks | |||
| causes = Often unknown, sometimes associated with [[Epstein-Barr virus]] | |||
| risks = [[Immunosuppression]], recent [[viral infection]] | |||
| diagnosis = Clinical examination, exclusion of other causes | |||
| differential = [[Herpes simplex]], [[syphilis]], [[Behçet's disease]] | |||
| treatment = Symptomatic relief, [[analgesics]], [[topical anesthetics]] | |||
| prognosis = Generally good, resolves without scarring | |||
| frequency = Rare | |||
}} | |||
'''Lipschütz ulcer''', also known as acute genital ulceration, is a rare and non-sexually transmitted condition characterized by the sudden appearance of painful [[ulcer (dermatology)|ulcers]] on the [[vulva]]. It was first described by Benjamin Lipschütz in 1913. | '''Lipschütz ulcer''', also known as acute genital ulceration, is a rare and non-sexually transmitted condition characterized by the sudden appearance of painful [[ulcer (dermatology)|ulcers]] on the [[vulva]]. It was first described by Benjamin Lipschütz in 1913. | ||
== Clinical Presentation == | == Clinical Presentation == | ||
Lipschütz ulcers typically present as one or more painful, necrotic ulcers on the vulva. These ulcers are often accompanied by systemic symptoms such as fever, malaise, and lymphadenopathy. The ulcers are usually well-circumscribed with a necrotic base and an inflammatory halo. | Lipschütz ulcers typically present as one or more painful, necrotic ulcers on the vulva. These ulcers are often accompanied by systemic symptoms such as fever, malaise, and lymphadenopathy. The ulcers are usually well-circumscribed with a necrotic base and an inflammatory halo. | ||
== Etiology == | == Etiology == | ||
The exact cause of Lipschütz ulcers is not well understood. However, they are often associated with viral infections, particularly [[Epstein-Barr virus]] (EBV) and [[cytomegalovirus]] (CMV). Other potential triggers include bacterial infections and stress. | The exact cause of Lipschütz ulcers is not well understood. However, they are often associated with viral infections, particularly [[Epstein-Barr virus]] (EBV) and [[cytomegalovirus]] (CMV). Other potential triggers include bacterial infections and stress. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of Lipschütz ulcer is primarily clinical, based on the characteristic appearance of the ulcers and the exclusion of other causes of genital ulcers, such as [[herpes simplex virus]] (HSV) infection and [[syphilis]]. Laboratory tests may include viral cultures, serology, and polymerase chain reaction (PCR) testing to rule out other infections. | Diagnosis of Lipschütz ulcer is primarily clinical, based on the characteristic appearance of the ulcers and the exclusion of other causes of genital ulcers, such as [[herpes simplex virus]] (HSV) infection and [[syphilis]]. Laboratory tests may include viral cultures, serology, and polymerase chain reaction (PCR) testing to rule out other infections. | ||
== Treatment == | == Treatment == | ||
Treatment of Lipschütz ulcers is mainly supportive. Pain management is crucial and may involve the use of analgesics and topical anesthetics. In some cases, corticosteroids may be prescribed to reduce inflammation. The ulcers typically resolve spontaneously within a few weeks. | Treatment of Lipschütz ulcers is mainly supportive. Pain management is crucial and may involve the use of analgesics and topical anesthetics. In some cases, corticosteroids may be prescribed to reduce inflammation. The ulcers typically resolve spontaneously within a few weeks. | ||
== Prognosis == | == Prognosis == | ||
The prognosis for Lipschütz ulcers is generally good, with most cases resolving without long-term complications. Recurrence is uncommon. | The prognosis for Lipschütz ulcers is generally good, with most cases resolving without long-term complications. Recurrence is uncommon. | ||
== See also == | |||
== | |||
* [[Ulcer (dermatology)]] | * [[Ulcer (dermatology)]] | ||
* [[Vulva]] | * [[Vulva]] | ||
| Line 32: | Line 35: | ||
* [[Cytomegalovirus]] | * [[Cytomegalovirus]] | ||
* [[Herpes simplex virus]] | * [[Herpes simplex virus]] | ||
{{Medical conditions}} | {{Medical conditions}} | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Rare diseases]] | [[Category:Rare diseases]] | ||
[[Category:Vulvovaginal disorders]] | [[Category:Vulvovaginal disorders]] | ||
Revision as of 04:10, 8 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Lipschütz ulcer | |
|---|---|
 | |
| Synonyms | Ulcus vulvae acutum, acute genital ulceration |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Painful genital ulcers, fever, lymphadenopathy |
| Complications | Secondary infection, scarring |
| Onset | Sudden |
| Duration | Typically 2–6 weeks |
| Types | N/A |
| Causes | Often unknown, sometimes associated with Epstein-Barr virus |
| Risks | Immunosuppression, recent viral infection |
| Diagnosis | Clinical examination, exclusion of other causes |
| Differential diagnosis | Herpes simplex, syphilis, Behçet's disease |
| Prevention | N/A |
| Treatment | Symptomatic relief, analgesics, topical anesthetics |
| Medication | N/A |
| Prognosis | Generally good, resolves without scarring |
| Frequency | Rare |
| Deaths | N/A |
Lipschütz ulcer, also known as acute genital ulceration, is a rare and non-sexually transmitted condition characterized by the sudden appearance of painful ulcers on the vulva. It was first described by Benjamin Lipschütz in 1913.
Clinical Presentation
Lipschütz ulcers typically present as one or more painful, necrotic ulcers on the vulva. These ulcers are often accompanied by systemic symptoms such as fever, malaise, and lymphadenopathy. The ulcers are usually well-circumscribed with a necrotic base and an inflammatory halo.
Etiology
The exact cause of Lipschütz ulcers is not well understood. However, they are often associated with viral infections, particularly Epstein-Barr virus (EBV) and cytomegalovirus (CMV). Other potential triggers include bacterial infections and stress.
Diagnosis
Diagnosis of Lipschütz ulcer is primarily clinical, based on the characteristic appearance of the ulcers and the exclusion of other causes of genital ulcers, such as herpes simplex virus (HSV) infection and syphilis. Laboratory tests may include viral cultures, serology, and polymerase chain reaction (PCR) testing to rule out other infections.
Treatment
Treatment of Lipschütz ulcers is mainly supportive. Pain management is crucial and may involve the use of analgesics and topical anesthetics. In some cases, corticosteroids may be prescribed to reduce inflammation. The ulcers typically resolve spontaneously within a few weeks.
Prognosis
The prognosis for Lipschütz ulcers is generally good, with most cases resolving without long-term complications. Recurrence is uncommon.
See also
