title: Genital ulcers caused by Epstein-Barr virus.
abstract: In North America, the most common cause of vulvar ulcers is infection with herpes simplex virus. However, Epstein-Barr virus can also cause vulvar ulcers, and may be underrecognized. Unlike herpes simplex virus, Epstein-Barr virus is not necessarily sexually transmitted. Therefore, it is particularly important to include in the differential diagnosis of genital ulcers for patients for whom a diagnosis of a venereal infection has important psychosocial consequences. We report three cases of acute primary Epstein-Barr virus infection in which the presenting symptoms were vulvar ulceration.
authors.affiliation: Department of Medicine, Section of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA.
authors.forename: Sola X
authors.initials: SX
authors.lastname: Cheng
authors.forename: M Shane
authors.initials: MS
authors.lastname: Chapman
authors.forename: Lynette J
authors.initials: LJ
authors.lastname: Margesson
authors.forename: Debra
authors.initials: D
authors.lastname: Birenbaum
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D020031:Epstein-Barr Virus Infections / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D014456:Ulcer / Q000473:pathology / Q000821:virology*; D014845:Vulvar Diseases / Q000473:pathology / Q000821:virology*