It’s not always that simplex

A 14-year-old girl presented with acute onset, painful, progressive ulceration of her labia minora. She described back pain and chills prior to onset. She was otherwise fit and well and not sexually active. Examination revealed a large, necrotic, violaceous-edged ulcer on her labia minora with brown crust and two smaller ulcerations (figure 1). Figure 1 (A) On presentation, a large, necrotic, violaceous-edged ulcer on her right labia minora with brown crust. Two smaller, similar ulcerations on the left labia minora and posterior fourchette. (B) After the …