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Lipschütz ulcer and group A streptococcal tonsillitis
  1. Sara Limão1,
  2. Ana Ventura2,
  3. Gustavo Queirós1,
  4. Florbela Cunha1
  1. 1 Pediatric Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
  2. 2 Pediatric Department, Hospital de Santa Maria, Lisboa, Portugal
  1. Correspondence to Dr Sara Limão, saralimao{at}


Lipschütz ulcers (LU) are non-sexually related genital ulcers, rarely reported. We describe a healthy 11-year-old girl, who presented with fever and a painful vulvar ulcer associated with erythematous tonsillitis. Throat swab test for Group A Streptococcus (GAS) was positive. She was treated with amoxicillin. Further investigation was negative, including Herpes Simplex virus DNA from ulcer swab and serology for Epstein-Barr virus, cytomegalovirus and Mycoplasma pneumoniae. Antistreptolysin O titre was high. The ulcer healed in 2 weeks, with no recurrence in a 1 year follow-up period. The association of LU with GAS tonsillitis is very rare.

  • genital ulcers
  • immunology
  • medical education
  • mouth
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  • Contributors All the authors substantially contributed to the conception or design of the work; the acquisition, analysis or interpretation of data; drafting the work or revising it critically for important intellectual content; final approval of the version to be published and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. SL and AV state that they have contributed equally to this paper. Furthermore, authors assure that there is no one else who fulfills the criteria of authorship of this work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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