Zoon Vulvitis as a differential diagnosis of ulcerative lesions on the vulva

relato de caso

Authors

  • Daniela da Silva Alves Monteiro
  • Bruna Obeica Vasconcellos
  • Susana Cristina Aidé Viviani Fialho
  • Ana Maria Reis Nascimento
  • Isabel Cristina Chulvis do Val Guimarães
  • Renato de Souza Bravo

Keywords:

ulcer, vulvitis, sexually transmitted diseases

Abstract

Vulvar ulcers are a frequent reason for doubt and difficulty of etiological diagnosis. Among the causes of genital ulcers, we can mention sexually transmitted infections such as herpes simplex virus infection, syphilis, chancroid, granuloma inguinale or Donovanosis, and lymphogranuloma venereum, as well as non-infectious etiologies including psoriasis, sexual trauma, Behçet’s syndrome, Wegener’s granulomatosis, and Zoon Vulvitis. In the present study, a case of a seven months evolution genital ulcer patient (who did not respond to the various proposed therapies) was referred to the Service of Vulvar Pathology of the Hospital Universitário Antônio Pedro (Universidade Federal Fluminense). A biopsy of the lesion was performed, and the histopathological report was compatible with Zoon Vulvitis. The treatment with corticosteroids was initiated. Patient presented a successful evolution. An extensive review of the literature on differential diagnoses of vulvar ulcers was carried out in order to guide a clinical reasoning and a therapeutic approach to the different etiologies.

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Author Biographies

Daniela da Silva Alves Monteiro

Universidade Federal Fluminense (UFF) – Niterói (RJ), Brazil.

Bruna Obeica Vasconcellos

Universidade Federal Fluminense (UFF) – Niterói (RJ), Brazil.

Susana Cristina Aidé Viviani Fialho

Universidade Federal Fluminense (UFF) – Niterói (RJ), Brazil.

Ana Maria Reis Nascimento

Fundação João Goulart, Hospital Maternidade Carmela Dutra (HMCD)/ Hospital Municipal Salgado Filho (HMSF) – Rio de Janeiro (RJ), Brazil.

Isabel Cristina Chulvis do Val Guimarães

Universidade Federal Fluminense (UFF) – Niterói (RJ), Brazil.

Renato de Souza Bravo

Universidade Federal Fluminense (UFF) – Niterói (RJ), Brazil.

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Published

2022-01-25

How to Cite

1.
Monteiro D da SA, Vasconcellos BO, Fialho SCAV, Nascimento AMR, Guimarães ICC do V, Bravo R de S. Zoon Vulvitis as a differential diagnosis of ulcerative lesions on the vulva: relato de caso. DST [Internet]. 2022 Jan. 25 [cited 2024 Jun. 25];29(1):22-4. Available from: https://www.bjstd.org/revista/article/view/1150

Issue

Section

Case Report