391
Pediatric and Adolescent
Gynecology
Chapter 40
Marlesa R. Moore, DO and
Stephen G. Somkuti, MD, PhD❍ What is the most frequent gynecologic disease of children?
Vulvovaginitis. In children, symptoms usually involve the vulva rather than the vagina.
❍ What are two types of vulvovaginitis?
(1) Nonspecific vulvovaginitis.
(2) Specific infectious vulvovaginitis.
❍ What are some common causes of nonspecific vulvovaginitis?
(1) Chemicals (detergents, soaps).
(2) Tight-fitting clothing.
(3) Poor hygiene and allergens.
❍ List three reasons why children are more susceptible to nonspecific vulvovaginitis than adults.
(1) Nonestrogenized state.
(2) Proximity of anus to the vagina.
(3) Lack of pubic hair.
❍ Adhesive vulvitis does not require treatment unless what condition occurs?
Voiding is compromised.
❍ What conditions are included in the differential diagnosis of persistent or recurrent vulvovaginitis?
(1) Foreign body.
(2) Pin worms.
(3) Primary vulvar skin disease.
(4) Ectopic ureter.
(5) Child abuse.