Juvenile gangrenous vasculitis of the scrotum: the male counterpart of Lipschütz ulcer?

We read with interest the article by W. Chen,[1] where they hypothesize that juvenile gangrenous vasculitis of the scrotum (JGVS) may be the male counterpart of Lipschütz ulcers (LU). JGVS has been used to depict the abrupt appearance of scrotal ulcerations in young males, preceded by fever and pharyngeal symptoms, with no abnormalities in laboratory and microbiologic studies and non-specific signs of vasculitis in histological examination. Although difficult to estimate the rate, recurrence of LU is described.[[1], [3]] One of our three patients presented a recurrent scrotal ulcer after 4 years, with no association with EBV or streptococcal pharyngitis. [Extracted from the article]