A year-old woman presents with painful vulval ulcers and severe dysuria Figure. She has not been sexually active for the past three months and is otherwise well. She has no history of gastrointestinal disease. On examination, several superficial ulcers are visible that have a red areola and a sloughy yellow-green base measuring 3 to 5 mm. The lesions are located mainly on the labia minora, which are oedematous. She does not have any oral ulceration.
A year-old female accountant is seen by you for painful lesions in the vulva. Her past medical history is notable only for the use of the hormonal contraceptive patch. She has been married for one year and denies a past history of herpes. Examination reveals two mildly tender grouped ulcerative lesions on the left labia. What is the differential diagnosis? Ulcerative lesions of the genitals can have both infectious and non-infectious etiologies.
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Aphthous ulcers are a common problem with a higher prevalence in high socio-economic areas. They occur most commonly in people aged in the twenties and are more common in men. The ulcers occur mainly in the inside of the mouth but can also occur in genital areas. The exact cause of aphthous ulcers is unknown.
Author: Vanessa Ngan, Staff Writer, An aphthous ulcer is an ulcer that forms on the mucous membranes. They are also called aphthae, aphthosis, aphthous stomatitis and canker sores. An aphthous ulcer is typically a recurrent round or oval sore or ulcer inside the mouth on an area where the skin is not tightly bound to the underlying bone, such as on the inside of the lips and cheeks or underneath the tongue.