A genital ulcer characterized by the rapid onset of painful, necrotic ulcerations of the vulva or lower vagina. It typically occurs in sexually inactive adolescent females or young females and may be preceded by influenza-like or mononucleosis-like symptoms. Acute genital ulceration has been associated with acute Epstein-Barr virus (EBV) infection or other viral and bacterial infections. However, in many cases a cause cannot be determined.
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