Acute ulcer of infectious origin on the external genitalia (vulva, labia majora, labia minora) of women under 20 years of age.

The main causes are: EBV virus, mumps, mycoplasma, Streptococcus A.

Diagnostic criteria:

*  major

- acute onset

- age < 20 years

- no history of suspicious sexual contact

- absence of immunodeficiency

- complete healing in less than 6 weeks

*  minor

- necrotic well defined central part in a painful ulcerative lesion

- symmetric lesions

Differential diagnosis: sexually transmitted diseases, Crohn's disease, Behcet's disease

Anesthetic implications:

check total blood count if EBV infection is suspected

References :

-        Miyazawa T, Hayashibe R, Nozawa T, Nishimura K, Ito S.
Lipschütz ulcer induced by acute Epstein-Barr virus infection in a girl.
Pediatrics International 2022 ; 64 : e15022

Updated: May 2022