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Lipschütz ulcer is an entity of undetermined origin, characterized by the acute appearance of a vulvar ulcer, generally single, big-sized and with well-defined borders, in an adolescent or young woman without an active sexual life. Its diagnosis is usually a challenge for the health professional, since it is a rare and little reported disease. It is diagnosed by dismissing other more common causes of vulvar ulcers, such as: venereal, systematic non-infectious, pharmacological, traumatic, or tumoral. [ABSTRACT FROM AUTHOR]

Today's adolescents are, undoubtedly, very different from those attended by the family doctor in the past. Currently, we are facing young people full of ideas, with a lot of personality, who show novel interactions with the world. It is a fact that the care of adolescent patient by family physicians it is performed more frequently and will be further increased by the recent incorporation of the care of adolescent patient to the Instituto Mexicano del Seguro Social (Mexican Institute of Social Security: IMSS). Among the most frequent medical problems of adolescents, the most important are: early pregnancy, depression, violence, use and abuse of alcohol and drugs, and nutrition and eating disorders. It is required an approach to this very complex population. For this reason, family doctors should be open to facilitate dialogue, without making judgments, and with too much empathy. To that end, it is necessary to be updated in all issues that are emerging day by day concerning adolescents. [ABSTRACT FROM AUTHOR]

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Copyright of Revista Salud Bosque is the property of Universidad El Bosque and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Epidemiologic transition of the last two decades has shown substantial changes in the features and course of diseases world-wide. Thence the need for pediatricians to delve on the management of diseases and complications formerly occurring only in adults. On the other hand physicians caring for adults are now facing diseases which were formerly fatal at relatively early ages and are currently seen in much older individuals. For this reason it has become mandatory to develop policies to encourage children, adolescents and their family to observe the continuity of their health care based on the knowledge and understanding of their disease and its risk factors. This will enhance confidence and a close relationship between a patient and his(her) physician in order to attain a sound adherence to treatment and to preclude complications thus achieving a favorable prognosis and excellent well-being. [ABSTRACT FROM AUTHOR]