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Lipschutz ulcer is a rare nonvenereal condition affecting predominantly young females who are not sexually exposed and can be triggered by various infectious agents, trauma, and drugs. It presents with single or multiple painful ulcers over labia minora, labia majora, vestibule, and lower part of the vagina and may be preceded by prodromal symptoms akin to influenza or mononucleosis. Diagnosis is based on specific criteria, which include age, ulcer characteristics, and absence of immunodeficiency. Management involves reassurance, supportive measures, and in severe cases, corticosteroids. This case highlights the importance of considering cytomegalovirus as a potential causative agent in Lipschutz ulcer and a cause for dysplasia. [ABSTRACT FROM AUTHOR]

Keywords: feet; hands; involve; keratoelastoidosis; marginalis EN feet hands involve keratoelastoidosis marginalis 71 73 3 01/20/21 20210101 NES 210101 To the Editor, Keratoelastoidosis marginalis is an acquired marginal keratoderma of the hands described usually in elderly male individuals. It probably develops due to chronic actinic damage and repetitive trauma to the hands, although this aetiology remains unproven.1 In contrast to the hereditary forms of the marginal keratodermas-acrokeratoelastoidosis, focal acral hyperkeratosis, punctate palmoplantar keratoderma; involvement of feet has never been reported in keratoelastoidosis marginalis, that is this entity occurs exclusively in hands, according to the previous literature.1 Herein, the authors report a histologically confirmed case of keratoelastoidosis marginalis in an elderly Indian female involving the hands and similar lesions on feet. [Extracted from the article]