Lipschutz Ulcers in an Adolescent After Sars-CoV-2 Infection.
Tonya M Schmitt, Jennifer Devries, Mary Jean Ohns
PMID 36257898WHAT IT FOUND
A nonsexually active 15-year-old girl had painful vulvar ulcers 5 days after SARS-CoV-2 diagnosis.
HSV and other viral tests were negative. She received comfort care, and by 2 weeks she was symptom-free with resolved lesions.
Key findings
01A nonsexually active adolescent had five painful erosive lesions on the labia minora.
02The patient was diagnosed with SARS-CoV-2 five days before the onset of genital ulcers.
03All test results were negative, and at 2-week follow-up she was symptom-free with resolved lesions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a single case report with no comparison group, so it cannot show that SARS-CoV-2 caused the ulcers or that comfort care changed the course. The patient had not received SARS-CoV-2 vaccination, so the report does not address vaccine-associated ulcers. Lipschutz ulcers are a diagnosis of exclusion, and this case does not establish a diagnostic test or treatment effect.
The easy way to misread this
Do not read this as proof that SARS-CoV-2 caused the ulcers or that comfort care made them heal. This is one nonsexually active adolescent with negative tests and a self-limiting course, and it had no comparison group.