Journal of the American Academy of Dermatology · 2010
Reactive nonsexually related acute genital ulcers: review of cases evaluated at Mayo Clinic.
СтатьяНазвание и аннотация: Перевод в очереди
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Lehman Julia S, Bruce Alison J, Wetter David A, Ferguson Sara B, Rogers Roy S
Аннотация
BACKGROUND: Reactive nonsexually related acute genital ulcers (RNSRAGU) occur in pubertal girls after an acute systemic infection.
OBJECTIVE: We sought to characterize RNSRAGU by reviewing the medical records of patients with this disorder.
METHODS: We searched our medical index database from 1997 to 2007 for RNSRAGU cases. Questionnaires were mailed to identified patients.
RESULTS: The study included 10 patients; 5 responded to the questionnaire. The mean age at onset was 11.5 years. Vulvar ulcers were preceded by viral gastroenteritis (n = 3), viral upper respiratory tract infection (n = 3), streptococcal pharyngitis (n = 1), influenza (n = 1), and other nonspecific febrile illnesses (n = 2). Seven patients had oral involvement also; 6 had at least one recurrence; and 3 were hospitalized for pain control. Analgesics and topical corticosteroids were the most common treatments. Ulcerations resolved within several weeks in all patients.
LIMITATIONS: Retrospective study design, small study size, and 50% questionnaire response rate are limitations.
CONCLUSIONS: Although rare, RNSRAGU should be considered when genital ulceration follows an acute systemic illness.
OBJECTIVE: We sought to characterize RNSRAGU by reviewing the medical records of patients with this disorder.
METHODS: We searched our medical index database from 1997 to 2007 for RNSRAGU cases. Questionnaires were mailed to identified patients.
RESULTS: The study included 10 patients; 5 responded to the questionnaire. The mean age at onset was 11.5 years. Vulvar ulcers were preceded by viral gastroenteritis (n = 3), viral upper respiratory tract infection (n = 3), streptococcal pharyngitis (n = 1), influenza (n = 1), and other nonspecific febrile illnesses (n = 2). Seven patients had oral involvement also; 6 had at least one recurrence; and 3 were hospitalized for pain control. Analgesics and topical corticosteroids were the most common treatments. Ulcerations resolved within several weeks in all patients.
LIMITATIONS: Retrospective study design, small study size, and 50% questionnaire response rate are limitations.
CONCLUSIONS: Although rare, RNSRAGU should be considered when genital ulceration follows an acute systemic illness.