NASPAG Clinical Consensus on Nonsexually Acquired Genital Ulcers (Vulvar Aphthous Ulcers)

• Published in: Journal of pediatric & adolescent gynecology Vol. 38; no. 1; pp. 4 - 10
• Main Authors: Evans, Jacquelyn R., French, Amanda V.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2025
• Subjects: Acute genital ulcer (AGU); Adolescent; Aphthous ulcer; Child; Consensus; Female; Humans; Lipschutz ulcer; Nonsexually acquired genital ulcer (NSGU); Ulcer - diagnosis; Ulcer - etiology; Ulcer - therapy; Vulvar Diseases - diagnosis; Vulvar Diseases - etiology; Vulvar Diseases - therapy; Vulvar ulcer; Acute genital ulcer (AGU); Vulvar ulcer; Aphthous ulcer; Lipschutz ulcer; Nonsexually acquired genital ulcer (NSGU)
• ISSN: 1083-3188; 1873-4332; 1873-4332
• DOI: 10.1016/j.jpag.2024.08.010

The objective of this document is to provide guidance on the recognition, diagnosis and management of non-sexually acquired genital ulcers in the pediatric and adolescent patient. Commonly known as genital or vulvar aphthous ulcers, lesions are typically seen in the peri‑menarchal population, are exquisitely painful, generally self-limited and managed with supportive care. Details of ulcer physical appearance, proposed etiology and options for management are provided to familiarize clinicians with this entity, which can be alarming for patients and families.