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- W2003729430 abstract "L’ulcère aigu de la vulve ou ulcère de Lipschütz a été décrit en 1917 par l’auteur du même nom [1]. Le diagnostic clinique repose sur un faisceau d’arguments : une phase prodromique avec fièvres, malaises, céphalées, odynophagie, myalgies, toux, suivi d’un ulcère hyperalgique creusant et nécrotique de la vulve avec œdème des lèvres, adénopathies, chez une adolescente ou une jeune fille le plus souvent vierge. Le tableau clinique serait secondaire à une primo-infection par le virus d’Epstein-Barr, mais certains auteurs rapportent d’autres étiologies. Il est important d’éliminer les diagnostics différentiels (autres maladies vénériennes, Behçet, Crohn). Le gynécologue et le dermatologue ne doivent pas méconnaître ce diagnostic pour éviter une prise en charge par excès, et pour rassurer la patiente et sa famille sur la transmission non sexuelle. Acute vulvar ulcer or Lipschütz ulcer has been described in 1917 [1]. Clinical pattern is characterized by a prodromic period, with hyperthermia, malaise, headache, odynophagia, myalgia and cough before the apparition of vulvar localization. Vulvar ulcer is classically deep, painful, necrotic, with edema and adenopathy in an adolescent or young woman without any previous sexual contact. Epstein-Barr Virus is the first etiology, but some authors have suggested other infections. Differential diagnosis has to be made with other sexually transmitted pathology, Behçet disease and Crohn disease. Gynecologist and dermatologist should be aware of this diagnosis to avoid unconscionable treatment and reassure patient and family about sexual transmission." @default.
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- W2003729430 date "2011-03-01" @default.
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- W2003729430 title "Ulcère de Lipschütz, un diagnostic méconnu" @default.
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- W2003729430 doi "https://doi.org/10.1016/j.gyobfe.2010.04.017" @default.
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