Abstract

Giriş: Vulvar aftozis patogenezinde; Epstein-Barr virüs, Sitomegaolovirüs ve İnşuenza A gibi çok çeşitli viral enfeksiyonlar sorumlu tutulmuştur. Bu yazıda vulvar aftozis tanısı alan 14 yaşındaki bir kız çoçuğu sunulmuştur. Olgu: 14 yaşında cinsel olarak aktif olmayan bir kız çoçuğu acil servisimize ani başlayan vulvar ağrı ve lezyonlar ile başvurdu. Vulva ödem neden ile gergin ve orta derecede eritemli görünümde idi ve aftöz lezyonlar mevcuttu. HSV, gonore, klamidya, vulvanın aerobik kültürleri, sfiliz serolojisi ve immunologic testler negatifdi. Tüm kültürler, laboratuvar testleri, histopatolojik ve immünolojik incelemeler sonrası hastaya idyopatik vulvar aftozis tanısı konuldu. Sonuç: Vulvar aftozis adolesanlardaki genital lezyonların nadir sebebidir. Genellikle kendini sınırlar fakat çocuklarda ve ailelerinde büyük stress nedenidir. Bu hastaların değerlendirilmesinde anamnez ve fizik muayene özenle yapılmalıdır. Tedavi yöntemi ağrının giderilmesi ve yara bakımındır

Keywords

• Vulvar Aft, Genital Aft.

VULVAR APHTOSIS IN AN ADOLESCENT GIRL: A CASE REPORT

Abstract

Introduction: A variety of viral infections have been blamed for vulvar aphtosis, such as Epstein-Barr virus, Cytomegalovirus, and influenza A. In this report we presented a 14-years old girl with the diagnosis of vulvar aphthosis. Case: A 14-years old nonsexually active girl was admitted to our emergency unit with the complaint of sudden onset vulvar pain and lesions. On pelvic examination; vulvar area was tense with edema and moderately erythematous and vulvar aphtous lesions were present. HSV, gonorrhea, Chlamydia, and aerobic cultures of the vulva, syphilis serology and immunologic tests were negative. Since all cultures, laboratory tests, histopathological examinations were not diagnostic, the clinical diagnosis was idiopathic vulvar aphthosis. Conclusion: Vulvar aphthosis is a rare cause of genital ulcers in adolescents. It is usually self limited but it causes great stress in children and their families. In these patients great care in taking the medical history and physical examination is crucial. Treatment consist of pain relief and wound care

Keywords

• Vulvar Aphthae, Genital Aphthous Ulcers.

References

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