College Blues and Hues

Vulvar ulcerations are an entity that practicing gynecologists frequently encounter in daily practice. A 21-year-old nulliparous college student presented with a 3-day history of itching to the genital area with associated tenderness and sore bumps. She was initially treated for vulvovaginal candidi...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 2007-06, Vol.109 (6), p.1447-1448
Hauptverfasser: Johnson, Tasha R., Landry, Mary S.
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creator Johnson, Tasha R.
Landry, Mary S.
description Vulvar ulcerations are an entity that practicing gynecologists frequently encounter in daily practice. A 21-year-old nulliparous college student presented with a 3-day history of itching to the genital area with associated tenderness and sore bumps. She was initially treated for vulvovaginal candidiasis and instructed to return several days later for follow-up. Repeat examination revealed multiple coalescent and necrotic-appearing ulcerations confined to the labia minora, vagina, and posterior fourchette. All of the lesions eventually resolved. This case reminds us to broaden our differential diagnosis when considering causes of genital tract ulcerations in reproductive-aged females.
doi_str_mv 10.1097/01.AOG.0000267317.38427.be
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subjects Adult
Antibodies, Heterophile - blood
Antibodies, Viral - blood
Cytomegalovirus - immunology
Cytomegalovirus Infections - diagnosis
Cytomegalovirus Infections - pathology
Diagnosis, Differential
Epstein-Barr Virus Infections - diagnosis
Epstein-Barr Virus Infections - pathology
Female
Genital Diseases, Female - diagnosis
Genital Diseases, Female - pathology
Genital Diseases, Female - virology
Herpesvirus 4, Human - immunology
Humans
Ulcer - diagnosis
Ulcer - pathology
Ulcer - virology
title College Blues and Hues
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