Table 1.

Differential diagnosis of vulvar ulcers in adolescent.

Girls [1–3]
Infectious
Venereal
Herpes simplex virus
Syphilis
Lymphogranuloma venereum
Chancroid
Granuloma inguinale
Human immunodeficiency virus (HIV)
Nonvenereal
Epstein–Barr virus
Cytomegalovirus
Mycobacteria
Candida
Parasite
Paratyphoid fever
Inflammatory
Lichen planus
Lichen sclerosus et atrophicans
Inflammatory bowel disease
Pyoderma gangrenosum
Aphthae (idiopathic)
Complex aphthosis
Behcet disease
Sweet syndrome
Drug reaction
Pemphigus vulgaris
Bullous pemphigoid
Paraneoplastic pemphigoid
Reiter syndrome
Systemic lupus erythematosus
Malignancy
Hemophagocytic syndrome
Langerhans cell histiocytosis
Lymphoma/leukemia
Trauma
Caustic burns
Foreign body
Sexual injury
Factitial