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
References
- 1. Pelletier F, Aubin F, Puzenat E, Deprez P, Blanc D, Estavoyer JM, Humbert P. Lipschütz genital ulceration: a rare manifestation of paratyphoid fever. Eur J Dermatol. 2003 May-Jun;13(3):297-8.
- 2. Bandow GD. Diagnosis and management of vulvar ulcers. Dermatol Clin. 2010 28(4):753-63 Lai K, Lambert E, Mercurio MG. Aphthous vulvar ulcers in adolescent girls: case report and review of the literature. J Cutan Med Surg. 2010 14(1):33-7
- 3. Trcko K, Belic M, Miljkovi_ J. Ulcus vulvae acutum.Acta Dermatovenerol Alp Panonica Adriat. 2007 Dec;16(4):174-6.
- 4. Halvorsen JA, Brevig T, Aas T, Skar AG, Slevolden EM, Moi H. Genital ulcers as initial manifestation of Epstein-Barr virus infection: two new cases and a review of the literature. Acta Derm Venereol. 2006;86(5):439-42.
- 5. Mary Anne Jamieson,MD,FRCSC. A Photo Albume of Pediatric and Adolescent Gynecology. Obstet Gynecol Clin N Am 36 (2009) 1–24.
- 6. Pelletier F, Aubin F, Puzenat E, Deprez P, Blanc D, Estavoyer JM, Humbert P. Lipschütz genital ulceration: a rare manifestation of paratyphoid fever. Eur J Dermatol. 2003 May-Jun;13(3):297-8.
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
References
- 1. Pelletier F, Aubin F, Puzenat E, Deprez P, Blanc D, Estavoyer JM, Humbert P. Lipschütz genital ulceration: a rare manifestation of paratyphoid fever. Eur J Dermatol. 2003 May-Jun;13(3):297-8.
- 2. Bandow GD. Diagnosis and management of vulvar ulcers. Dermatol Clin. 2010 28(4):753-63 Lai K, Lambert E, Mercurio MG. Aphthous vulvar ulcers in adolescent girls: case report and review of the literature. J Cutan Med Surg. 2010 14(1):33-7
- 3. Trcko K, Belic M, Miljkovi_ J. Ulcus vulvae acutum.Acta Dermatovenerol Alp Panonica Adriat. 2007 Dec;16(4):174-6.
- 4. Halvorsen JA, Brevig T, Aas T, Skar AG, Slevolden EM, Moi H. Genital ulcers as initial manifestation of Epstein-Barr virus infection: two new cases and a review of the literature. Acta Derm Venereol. 2006;86(5):439-42.
- 5. Mary Anne Jamieson,MD,FRCSC. A Photo Albume of Pediatric and Adolescent Gynecology. Obstet Gynecol Clin N Am 36 (2009) 1–24.
- 6. Pelletier F, Aubin F, Puzenat E, Deprez P, Blanc D, Estavoyer JM, Humbert P. Lipschütz genital ulceration: a rare manifestation of paratyphoid fever. Eur J Dermatol. 2003 May-Jun;13(3):297-8.
Details
| Other ID | JA36TJ76AE |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | October 1, 2013 |
| Submission Date | October 1, 2013 |
| Published in Issue | Year 2013 Volume: 16 Issue: 4 |