Noninfectious genital ulcers

MUCOSAL DISEASE: ORAL AND GENITAL

Noninfectious genital ulcers

Dec
2015
Vol. 34. No. 4
Carly Kirshen, MD, FRCPC, FAAD | Libby Edwards, MD, FAAD

Noninfectious genital ulcers are much more common than ulcers arising from infections. Still, it is important to take a thorough history of sexual activity and a sexual abuse screen. A physical exam should include skin, oral mucosa, nails, hair, vulva, and vaginal mucosa if needed. The differential diagnosis of noninfectious genital ulcers includes: lipschütz ulcers, complex aphthosis, Behçet’s syndrome, vulvar metastatic Crohn’s disease, hidradenitis suppurativa, pyoderma gangrenosum, pressure ulcers, and malignancies. It is important to come to the correct diagnosis to avoid undue testing, stress, and anxiety in patients experiencing genital ulcerations.
Semin Cutan Med Surg 34:187-191 © 2015 Frontline Medical Communications

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