COVID-19 related acute genital ulcer: a case report.
Cláudia Márcia de Azevedo JacynthoMarcela Ignacchiti Lacerda ÁvilaMariana de Sousa Ribeiro de CarvalhoMaria Roberta Meneguetti Seravali RamosPedro Vieira BaptistaSandra Helena de Azevedo Durães BandeiraPublished in: Einstein (Sao Paulo, Brazil) (2022)
Acute vulvar ulcer (Lipschütz's ulcer) is a rare lesion with local hyperimmunoreactivity triggered by infection, which is characterized by acute, painful, and necrotic ulcerations. This condition is usually found in non-sexually active adolescents, and it resolves spontaneously. We report a case of a 35-year-old woman who was diagnosed with COVID-19 who did not have severe symptoms, but had high levels of D-dimer for 9 days. The COVID-19 diagnosis was followed by the appearance of an acute, necrotic, extremely painful vulvar ulcer, although symptoms caused by COVID-19 had improved. We emphasize the importance of the differential diagnosis to exclude diseases such as Behçet's syndrome, Sexually Transmitted Infections, as well as the presence of viruses that generally trigger Lipschütz's ulcer, such as Epstein-Barr virus and cytomegalovirus. No treatment is usually necessary, however, in the present report due to the pain experienced by the patient, we successfully used oral prednisone.
Keyphrases
- coronavirus disease
- liver failure
- sars cov
- epstein barr virus
- respiratory failure
- drug induced
- aortic dissection
- young adults
- chronic pain
- squamous cell carcinoma
- physical activity
- respiratory syndrome coronavirus
- early onset
- radiation therapy
- sleep quality
- depressive symptoms
- early stage
- neoadjuvant chemotherapy
- replacement therapy
- spinal cord injury