Ulcus vulvae acutum Lipschutz-Chapin

Do ulcers occasionally occur on the external female genitalia? which without bacterioscopic examination are dvagnossvruyug either as a soft chancre, or as a gangrenous ulcer. Not being in direct connection with intercourse, ONP more often affects older girls, virgins and only occasionally young women. I first noticed these ulcers in 1904. Lipschutz at the Finger clinic; during the bacteriological examination of smears from ulcers in and out of leukocytes, singly or in groups, he found Gram-positive short cells with crooked ends; later they were called bac. crassus; autoinoculation was negative. Lipschutz called these ulcers of the lodes noveneric; further observations of 4 cases in 1907-1909 allowed him in 1912 to establish a special nosological unit, to which he gave the name-ulcus vulvae acutum. A number of observations that appeared in the press, and most importantly 20 of his own, made it possible for the author to sharply distinguish this disease from other venereal and non—venereal ulcerative processes, such as those described in 1895 by Neumann aft of the female genital organs, or from the superficial ulcers of the anus and genitals described by Welan deg in women: these ulcers, despite similar features—soreness, development in virgins-differed in the development of vesicles on touching places etc.