Acute vulvar and upper thigh ulceration associated with primary EBV in an elderly female.

M. Sachar
Epstein-Barr Virus (EBV) infection may cause mucocutaneous ulceration during primary or latent infection. Acute vulvar ulceration and prodromal symptoms are known as Lipschütz ulcers, which are typically seen in young females and are associated with multiple infectious etiologies, including primary EBV infection. In elderly patients, latent EBV infections have been associated with lymphoproliferative ulcerations and immunosenescence or immunosuppression. We present an immunocompetent 77-year-old female with painful vulvar and thigh ulcers and serologies consistent with a...
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