ABSTRACT
Vulval ulceration may result from a number of causes, including physical, infective, and neoplastic. Tuberculosis is a rare cause of vulval ulceration and may be associated with inguinal lymphadenopathy. It usually arises from haematogenous spread from primary tuberculosis in other organs, such as the lungs. Primary vulval lesions are very rare, as are ascending infection or vertical spread. The ulcers are indolent and can be diagnosed with certainty only on microscopic section of a biopsied part of the lesion. Diphtheria condition is an upper respiratory tract infection from Corynebacterium diphtheriae. It causes a low-grade fever and produces ulceration with membranous exudates. It is highly contagious, but vaccination has reduced the incidence dramatically. It can cause vulval ulceration. Behcet’s syndrome is a rare, chronic, multisystem disorder resulting in blood vessel damage. It is characterised by painful recurrent oral and vulval ulceration; skin and eye lesions such as uveitis, retinitis, and iritis may also develop.
