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We read with interest the case report by Fremlin and colleagues1 on non-sexually acquired genital ulceration (NSAGU), also termed Lipschütz ulcers. NSAGU is characterised by acute painful genital ulcerations in girls and young women and has been associated with a large spectrum of acute infections, for example, Epstein-Barr virus (EBV), cytomegalovirus (CMV) and parvovirus.2 3 We would like to draw attention to the possibility of another important cause of this condition. …
PMMS and NS contributed equally.
Contributors All authors have seen and approved the manuscript and contributed significantly to the work.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
Patient consent for publication Parental/guardian consent obtained.