What is the workup and treatment for a patient presenting with a vulvar ulcer?

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Workup and Treatment for Vulvar Ulcers

The comprehensive workup for vulvar ulcers should include serologic testing for syphilis, HSV culture or PCR, and consideration of H. ducreyi culture in high-prevalence settings, with treatment directed at the specific etiology identified. 1, 2

Initial Diagnostic Workup

Required Testing

  • Serologic test for syphilis (all patients)
  • Darkfield examination or direct immunofluorescence for Treponema pallidum
  • Culture or antigen test for HSV
  • Culture for Haemophilus ducreyi (in settings where chancroid is prevalent)
  • HIV testing (especially for patients with syphilis or chancroid)

Additional Workup Based on Clinical Presentation

  • Consider testing for:
    • Lymphogranuloma venereum (LGV)
    • Granuloma inguinale (donovanosis)
    • Non-infectious causes (biopsy may be needed)

Differential Diagnosis

Infectious Causes

  1. Herpes Simplex Virus (HSV) - Most common cause in the US 2
  2. Syphilis - Second most common cause in the US 2
  3. Chancroid (H. ducreyi)
  4. Lymphogranuloma venereum (LGV)
  5. Granuloma inguinale (donovanosis)
  6. Secondary bacterial infections
  7. Fungal infections

Non-Infectious Causes

  1. Sexual trauma
  2. Psoriasis
  3. Behçet syndrome
  4. Fixed drug eruptions
  5. Vulvar aphthous ulcers (non-sexually acquired) 3

Treatment Algorithm

1. Herpes Simplex Virus

  • First episode:
    • Acyclovir 400 mg orally 3 times daily for 7-10 days
    • Alternatives: Famciclovir 250 mg orally 3 times daily or Valacyclovir 1 g orally twice daily 1, 2
  • Recurrent episodes:
    • Same medications for 5 days 1

2. Syphilis

  • Primary syphilis:
    • Penicillin G benzathine 2.4 million units IM in a single dose 1, 2
  • Follow-up: Re-examination to ensure healing

3. Chancroid

  • Recommended regimens:
    • Azithromycin 1 g orally in a single dose, OR
    • Ceftriaxone 250 mg IM in a single dose, OR
    • Ciprofloxacin 500 mg orally twice daily for 3 days (contraindicated in pregnancy, lactation, and persons <18 years), OR
    • Erythromycin base 500 mg orally four times daily for 7 days 1
  • Expected healing time: 7-14 days for small ulcers, >2 weeks for large ulcers

4. Lymphogranuloma Venereum

  • Doxycycline 100 mg orally twice daily for 21 days
  • Alternative for pregnant patients: Erythromycin base 500 mg orally four times daily for 21 days 1

5. Granuloma Inguinale (Donovanosis)

  • Doxycycline 100 mg orally twice daily for at least 3 weeks and until all lesions have completely healed 1, 2

6. Non-Infectious Vulvar Ulcers

  • Vulvar aphthous ulcers:
    • Topical corticosteroids (e.g., clobetasol 0.05% ointment 4 times daily) 4
    • Topical anesthetics for pain relief (lidocaine gel/ointment)
  • Behçet syndrome:
    • Consider referral to specialist for systemic therapy 2

Wound Care

  • Gentle cleansing with sterile saline solution
  • Application of plain petrolatum ointment directly to the ulcer
  • Cover with non-adherent dressing or petrolatum-impregnated gauze
  • Secure with a bandage that provides protection without excessive pressure 1

Follow-Up and Monitoring

  • Re-examination 3-7 days after treatment initiation 1
  • Signs of treatment failure:
    • No symptomatic improvement within 3 days
    • No objective improvement within 7 days
    • Worsening symptoms despite appropriate therapy
    • Development of new lesions during treatment 1

Special Considerations

HIV Co-infection

  • May require longer courses of therapy
  • Closer monitoring recommended 1
  • Higher risk of treatment failure

Pregnancy

  • Avoid ciprofloxacin
  • Azithromycin safety not established in pregnancy 1
  • Use erythromycin or penicillin-based regimens when appropriate

When to Refer

  • Ulcers that do not respond to appropriate therapy
  • Extensive or rapidly spreading lesions
  • Suspected malignancy
  • Recurrent ulcerations despite appropriate treatment 1

Important Caveats

  • No pathogen is identified in up to 25% of patients with genital ulcers 2
  • Consider non-infectious causes when infectious workup is negative
  • Sexual partners should be examined and treated appropriately 1
  • In adolescents, consider non-sexually acquired genital ulcers, which are typically self-limited but exquisitely painful 3
  • Acyclovir-resistant HSV can occur even in immunocompetent patients and may require alternative treatments like foscarnet 5

References

Guideline

Vaginal Ulcer Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Diagnosis and management of genital ulcers.

American family physician, 2012

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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