Nonsexual Acute Genital Ulcerations as a Rare Presentation of Disseminated Lyme Disease in a Pediatric Patient

Megan D Mikkelson; Madelyn K Fox; Olivia R Cooper; Chelsea L Ragland

doi:10.1016/j.jpag.2023.12.005

Nonsexual Acute Genital Ulcerations as a Rare Presentation of Disseminated Lyme Disease in a Pediatric Patient

J Pediatr Adolesc Gynecol. 2023 Dec 17:S1083-3188(23)00454-0. doi: 10.1016/j.jpag.2023.12.005. Online ahead of print.

Authors

Megan D Mikkelson¹, Madelyn K Fox², Olivia R Cooper¹, Chelsea L Ragland³

Affiliations

¹ Asheville Mountain Area Health Education Center Family Medicine Residency, Asheville, North Carolina.
² University of North Carolina School of Medicine, Chapel Hill, North Carolina.
³ Mission Children's Hospital, Asheville, North Carolina. Electronic address: Chelsea.ragland@hcahealthcare.com.

PMID: 38113972
DOI: 10.1016/j.jpag.2023.12.005

Abstract

Nonsexual acute genital ulcerations (NAGUs), also known as Lipschütz ulcers, are vulvar ulcers occurring predominantly in adolescent females. Although the pathogenesis is unknown, NAGUs are commonly associated with systemic infections. Here, we present a female child with NAGU along with disseminated Lyme disease. We believe this is the first reported pediatric case of this phenomenon.

Keywords: Borrelia burgdorferi; Case reports; Dermatology; Female; Genitalia; Vulva; Vulvar diseases.

Publication types

Case Reports