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ULCUS VULVAE ACUTUM ASSOCIATED WITH LESIONS OF THE MOUTH

MAX S. WIEN, M.D.; MINNIE OBOLER PERLSTEIN, M.D.
JAMA. 1932;98(6):461-466. doi:10.1001/jama.1932.02730320021005.
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Ulcus vulvae acutum is a condition, first described by Lipschütz1 in 1913, that is characterized by the presence of ulcers which appear suddenly on the mucous membrane of the vulva or adjacent region, in which Bacillus crassus is a constant bacteriologic finding. These lesions are accompanied by marked subjective symptoms of pain and burning, and they involute spontaneously in varying lengths of time with slight or no scar formation, depending on the depth of ulceration.

The coexistence of ulcerative lesions of the mouth and genitalia has been described on a number of occasions. In 1894 and 1895, Neumann2 observed eleven women, aged between 17 and 48, in whom he noted the association of ulcers of the mouth and genitalia. Christlieb,3 in 1895, described a similar combination in a woman, aged 24. In 1904, Schwab4 reported two instances in which the conditions existed simultaneously. In 1920, Fordyce

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