Service de Dermatologie, Hôpital Necker-Enfants Malades, Paris, France
A thorough review of vulvo-vaginal disorders in pediatric and adolescent patients would be quite lengthy. This review will address the most common dermatologic vulvo-vaginal diseases but will exclude sexually transmitted disorders. For etiological purposes, one should consider the child’s age and the circumstances in which the disease occurred, as well as the isolated or associated character of the lesions.
It is important to get a good history, including the time of appearance of the lesions, whether they are congenital or not, and their evolution. Any cutaneous perineal lesion in a child should trigger a careful mucosal, cutaneous and systemic examination, in the presence of the parents if the child is young or in private according to a teenager’s preferences.
Revision date: July 8, 2011
Last revised: by Janet A. Staessen, MD, PhD