Capillary hemangiomas of the vulva mistaken for sexual abuse

Hostetler, B.R.; Jones, Claudette E.; Muram, David

doi:10.1016/s0932-8610(12)80179-4

Cited by 6 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even in more common conditions such as hemangioma and lichen sclerosus, the erroneous diagnosis of sexual abuse may occur because of the tendency for these lesions to ulcerate and/or appear purpuric (13,14). In many cases of vulvar disease in children, the thought of possible sexual abuse has occurred to the parent and the primary care physician and accurate diagnosis of a dermatosis or nevus is very reassuring to both.…”

Section: Discussionmentioning

confidence: 99%

Vulvar Disease in Children: A Clinical Audit of 130 Cases

Fischer

Rogers

2000

Pediatric Dermatology

119

View full text Add to dashboard Cite

We evaluated 130 prepubertal girls presenting with a vulvar complaint to determine the spectrum and frequency of conditions seen in this age group. Of the patients, 41 (33%) had atopic or irritant dermatitis, 23 (18%) had lichen sclerosus, 21 (17%) had psoriasis, 15 (12%) had vulvar lesions, most often hemangiomas and nevi, and 13 (10%) had streptococcal vulvovaginitis. Diagnoses less frequently seen were staphylococcal folliculitis (four patients), labial fusion (three patients), genital warts (two patients), molluscum contagiosum of the vulva only (one patient), vulvar bullous pemphigoid (two patients), scabies nodules (one patient), erythema annulare centrifugum (one patient), tinea (two patients), and vitiligo (one patient). We also encountered vulvar presentations of systemic diseases (varicella, staphylococcal scalded skin syndrome, and Henoch-Schönlein purpura, all one patient each). We did not see candidal vulvovaginitis in this age group nor did we encounter bacterial infection with pathogens other than Staphylococcus aureus and S. pyogenes.

show abstract

Section: Discussionmentioning

confidence: 99%

Vulvar Disease in Children: A Clinical Audit of 130 Cases

Fischer

Rogers

2000

Pediatric Dermatology

119

View full text Add to dashboard Cite

show abstract

“…In practise, the management of this condition is complex and should involve a paediatrician and possibly other members of a multidisciplinary team. Ulcerated vulval haemangiomas have been reported to raise inappropriate investigations for sexual abuse 10 …”

Section: Dermatoses Of the Vulvamentioning

confidence: 99%

“…The role of the dermatologist is usually not to diagnose sexual abuse but to reassure that the child’s vulval dermatosis is a skin condition, and not an indicator that the child has been abused. It is not uncommon for children with lichen sclerosus to be reported to the authorities, and ulcerated vulval haemangiomas and bullous pemphigoid can attract the same attention 10,17,35 . A recent case report indicates that the very rare condition vulvitis plasmacellularis circumscripta occurred in a child and was also mistaken for sexual abuse 36 .…”

Section: Anatomical Abnormalitiesmentioning

confidence: 99%

Vulval disease in pre‐pubertal girls

Fischer

2001

Aust J Dermatology

View full text Add to dashboard Cite

Children present with vulval complaints less frequently than do adults; although there are many similarities between paediatric and adult groups of patients with vulval disease, there are also important differences. In both groups, dermatitis, psoriasis and lichen sclerosus are the most frequently seen dermatoses. Birthmarks and congenital abnormalities presenting for the first time are more of an issue in children than in adults. Fusion of the labia and streptococcal vulvovaginitis are conditions seen only in the paediatric group. Sexually transmitted diseases such as genital warts and genital herpes are not common in this group and should always raise the possibility of child sexual abuse. Chronic vulvovaginal candidiasis, although a very common problem in adult patients, is not seen in the prepubertal group.

show abstract

Genital Disease in Children

Fischer¹

2019

Harper's Textbook of Pediatric Dermatology

View full text Add to dashboard Cite

Capillary hemangiomas of the vulva mistaken for sexual abuse

Cited by 6 publications

References 2 publications

Vulvar Disease in Children: A Clinical Audit of 130 Cases

Vulvar Disease in Children: A Clinical Audit of 130 Cases

Vulval disease in pre‐pubertal girls

Genital Disease in Children

Contact Info

Product

Resources

About