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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. …
Footnotes
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.