title: [Acute Lipschütz-Chapin vulvar ulcer].
abstract: A 17-year-old female patient is described, who had a sexual intercourse, the only in her life, a year before. Hectic temperature has developed in the presence of an exacerbation of chronic decompensated tonsillitis; the general status has essentially deteriorated. A sharply painful ulcer, up to 2 cm in diameter, was seen on the lower third of the involved labium majus; Lactobacilli casei were isolated from the discharge from this ulcer. After 2 weeks of antibiotic and immunocorrective therapy a delicate atrophic cicatrix has formed. The factors that helped diagnose the Lipschütz-Chapin acute vulvar ulcer were exacerbation of a chronic focal infection, anemia, leucocytosis, thrombocytopenia, dysproteinemia, and disordered cellular and humoral immunity.
authors.forename: V M
authors.initials: VM
authors.lastname: Kovalev
authors.forename: V D
authors.initials: VD
authors.lastname: Gridasova
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007780:Lacticaseibacillus casei / Q000302:isolation & purification; D013577:Syndrome; D014456:Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D014844:Vulva / Q000382:microbiology / Q000473:pathology; D014845:Vulvar Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
vernacular_title: Ostraia iazva vul'vy Lipshiuttsa--Chapina.