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Examination revealed bilateral deep kissing ulcers on the medial aspect of the labia minora with a red border and overlying black eschar appearance (Figure). Wound culture, Herpes Simplex Virus (HSV),… Click to show full abstract
Examination revealed bilateral deep kissing ulcers on the medial aspect of the labia minora with a red border and overlying black eschar appearance (Figure). Wound culture, Herpes Simplex Virus (HSV), HIV, and Venereal Disease Research Laboratory (VDRL) testing was negative. Epstein-Barr Virus (EBV) Immunoglobulin G (IgG) was positive, and Immunoglobulin M (IgM) was negative. She was diagnosed with Lipschutz ulcers by exclusion of other causes and managed conservatively with analgesia, barrier ointment, and a hygiene regimen. Her symptoms improved and the lesions healed without sequelae.
Journal Title: Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
Year Published: 2018
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