DOI: 10.12890/2023_003972

Genital ulcers associated with systemic lupus erythematosus – what are the possible causes? A Case Report

Authors

  • Maysoun Kudsi Rheumatology Department, Faculty of Medicine, Damascus University / Syrian Private University, Damascus, Syria
  • Tasneem Drie Rheumatology Department, Faculty of Medicine, Damascus University / Syrian Private University, Damascus, Syria
  • Ghina Haidar Rheumatology Department, Faculty of Medicine, Damascus University / Syrian Private University, Damascus, Syria
  • Safaa Al-Sayed Rheumatology Department, Faculty of Medicine, Damascus University / Syrian Private University, Damascus, Syria
  • Enas Roumieh Rheumatology Department, Faculty of Medicine, Damascus University / Syrian Private University, Damascus, Syria

gtghinahaidar@gmail.com

Keywords

systemic lupus erythematosus, genital ulcers, autoimmune diseases, systemic conditions

Abstract

Systemic lupus erythematosus (SLE) is a chronic systemic autoimmune disease that affects many organs. In this report, we discuss the case of a patient with SLE who presented to an out-hospital clinic, complaining of fever and pain with genital ulcers. Negative evaluations for other causes of genital ulcers, indicated these ulcers as related to SLE. This case highlights the importance of including SLE ulcers in the differential diagnosis of genital ulcers.

 

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References

  1. Angum F, Khan T, Kaler J, Siddiqui L, Hussain A. The Prevalence of Autoimmune Disorders in Women: A Narrative Review.Cureus 2020;12:e8094
  2. Jung JY, Suh CH. Infection in systemic lupus erythematosus, similarities, and differences with lupus flare.Korean J Intern Med 2017;32:429-438
  3. Ospina FE, Echeverri A, Zambrano D, Suso JP, Martínez-Blanco J, Cañas CA, et al. Distinguishing infections vs flares in patients with systemiclupus erythematosus.Rheumatology (Oxford) 2017;56:i46-i54
  4. Sara D, Ziani J, Issoual K, Douhi Z, Elloudi S, Baybay H, et al. Lupus erythematosus affecting the genitalia: an unusual site. Dermatol Open J 2020;5:26–27
  5. Vieira-Baptista P, Lima-Silva J, Beires J, Martinez-de-Oliveira J. Lipschütz ulcers: should we rethink this? An analysis of 33 cases. Eur JObstet Gynecol Reprod Biol 2016;198:149-152
  6. de Castro Coelho F, Amaral M, Correia L, Nunes Campos MJ, Paula T, Borges A, Borrego J. Lipschütz Genital Ulceration as Initial Manifestation of Primary Sjögren’s Syndrome. Case Rep Obstet Gynecol 2018;2018:3507484
  7. Fresko I, Yazici H, Isci H, Yurdakul S. Genital ulceration in patients with systemic lupus erythematosus.Lupus 1993;2:135
  8. Aringer M, Costenbader K, Daikh D, Brinks R, Mosca M, Ramsey- Goldman R, et al. 2019 European League Against Rheumatism/American College of Rheumatology classification criteria for systemic lupus erythematosus.Ann Rheum Dis 2019;78:1151-1159
  9. Cooper EE, Pisano CE, Shapiro SC. Cutaneous Manifestations of “Lupus”: Systemic Lupus Erythematosus and Beyond.Int J Rheumatol 2021;2021:6610509
  10. Stull C, Sprow G, Werth VP. Cutaneous Involvement in Systemic Lupus Erythematosus: A Review for the Rheumatologist.J Rheumatol 2023;50:27-35
  11. Paidi G, Himaja V. A Rare Case of Systemic Lupus Erythematosus Manifesting as Genital Ulcers.Cureus 2022;14:e23818
  12. Roett MA. Genital Ulcers: Differential Diagnosis and Management.Am Fam Physician 2020;101:355-361
  13. Kiafar M, Faezi ST, Kasaeian A, Baghdadi A, Kakaei S, Mousavi SA, et al. Diagnosis of Behçet’s disease: clinical characteristics, diagnostic criteria, and differential diagnoses.BMC Rheumatol 2021;5:2
  14. Pereira DAG, Teixeira EPP, Lopes ACM, Sarmento RJP, Lopes APC. Lipschütz Ulcer: An Unusual Diagnosis that Should Not be Neglected.Rev Bras Ginecol Obstet 2021;43:414-416
  15. Park SC, Jeen YT. Diagnostic Criteria for Crohn’s Disease. In: Chun, H.J., Seol, SY., Choi, MG., Cho, J.Y. (eds) Small Intestine Disease. Springer, Singapore. https://doi.org/10.1007/978-981-16-7239-2_36
  16. Infantino M, Nagy E, Bizzaro N, Fischer K, Bossuyt X, Damoiseaux J. Anti-dsDNA antibodies in the classification criteria of systemic lupus erythematosus.J Transl Autoimmun 2021;5:100139
SLE

Published

2023-07-29

How to Cite

1.
Kudsi M, Drie T, Haidar G, Al-Sayed S, Roumieh E. Genital ulcers associated with systemic lupus erythematosus – what are the possible causes? A Case Report. EJCRIM [Internet]. 2023 Jul. 29 [cited 2026 Nov. 3];10(8). Available from: https://ejcrim.com/index.php/ejcrim/article/view/3972

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