Pediatriac vaginal

Itching, redness, and swelling of the skin of the vagina and the surrounding area vulva is a common problem in girls before the age of puberty. Vaginal discharge may also be present. The color, smell, and consistency of the discharge can vary, depending on the cause of the problem.

A 3-year-old previously well girl presented with her mother with a 3- to 4-day history of yellow-green vaginal discharge. The mother reported that the child has had some intermittent vaginal itching as well, but no complaints of pain. There has been no bloody vaginal discharge.

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Normal vaginal secretion is usually thin, and clear to white with a variable amount, while malodorous, abnormal consistency of vaginal discharge accompanied by blood, pain, pruritus, or dysuria is usually pathologic. Many factors can cause vaginal discharge such as anatomy of genital area that more susceptible to inflammation and infection, numerous organisms that including those associated with the sexually transmitted diseases or child sexual abuse, also mechanical and chemical substances, as well as poor hygiene. Recurrent vaginal discharge can be very distressing to children, especially if associated with discomfort and the most common cause is vulvovaginitis.

Skip to search form Skip to main content. Jasper Published DOI: Signs and symptoms include irritation and erythema of the vulva, vaginal discharge, soreness, itching, dysuria, excoriation of the area, and bleeding.

Ordinarily the lips of skin labia surrounding the entrance to the vagina are separated. In rare cases, they grow together to block the opening, partially or completely. This condition, called labial adhesions sticking together of labiamay occur in the early months of life or, less frequently, later on if there is constant irritation and inflammation in this area.

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The World Health Organization currently uses the term Ewing sarcoma to include classical Ewing of the bone as well as extraosseous Ewing, Askin tumor of the thoracic wall, and primitive peripheral neuroectodermal tumors. Virtually, all Ewing sarcomas share a common chromosomal translocation of the long arm of chromosome 11 and The translocation of the EWSR1 gene on to chromosome 22p12 next to the FLI1 gene usually results in upregulation of insulin-like growth factor 1 which plays a role in cellular proliferation.

Vaginal bleeding is rare in prepubertal girls but may occur in a number of endocrine disease states. These include congenital conditions such as McCune-Albright syndrome and acquired abnormalities such as central precocious puberty or severe primary hypothyroidism. The associated signs and symptoms vary tremendously and will depend on the specific cause.

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Itching, redness, and swelling of the skin of the vagina and the surrounding area vulva is a common problem in girls before the age of puberty. Vaginal discharge may also be present. The color, smell, and consistency of the discharge can vary, depending on the cause of the problem.

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Any of the following disorders may also present with a urinary tract infection. In addition to specific treatment, these girls also require investigation with a renal sonogram and VCUG to rule out additional causes for the urinary tract infection such as reflux. Occasionally withdrawal bleeding occurs shortly after birth due to the withdrawal of maternal estrogens.

An extraordinary type of foreign body FB may be found in the female external genitalia, especially in children. Intravaginal FB, retained for long duration, can produce diagnostic dilemma. Vaginal bleeding as the result of a leech bite is extremely rare although reported.

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