COVID 19 vaccination as a trigger of acute genital ulcers in an autoimmune predisposed adolescent - a case report and literature review

Author:

Pokora Karolina1,Kowalczyk Karolina1,Cwynar Marlena1,Peterek Robert1,Stojko Rafał2,Madej Paweł1,Drosdzol-Cop Agnieszka2

Affiliation:

1. 1Department of Endocrinological Gynecology, Medical University of Silesia, Katowice

2. 2Chair and Department of Gynecology, Obstetrics and Gynecological Oncology, School of Health Sciences in Katowice, Medical University of Silesia, Katowice

Abstract

Abstract Acute genital ulcers (AGU) can affect girls and women of all ages. In children, they often appear as an emergency and remain a diagnostic challenge for pediatricians, gynecologists, and dermatologists. Prompt diagnosis and identification of disease- related factors help to implement appropriate treatment. Firstly, it is crucial to properly compile the medical background of the patient. Infectious, autoimmune, malignant, traumatic, or vaccines are the possible conditions. Also, new infectious agents, such as SARS-CoV-2 and vaccinations against it - COVID-19, may play a significant role in the development of atypical clinical symptoms. We present a case of a 12-years- old girl with acute genital ulcers and history of autoimmune diseases. She had periodic fever - aphthous stomatitis - pharyngitis - adenopathy (PFAPA) syndrome and Henoch-Schönlein purpura in the past. Additionally, she was vaccinated against SARS-CoV-2 shortly before the lesions appeared. Review of literature is focused on the possible causal link between appearance of AGU, autoimmunity, and COVID-19 vaccination.

Publisher

Research Square Platform LLC

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