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Vulvovaginitis in Children
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Vulvovaginitis in Children
, Pediatric Vulvovaginitis, Vaginitis in Girls
See Also
Vulvovaginitis
Pathophysiology
Low levels of
Estrogen
in the vagina
Poor peri-vaginal hygiene in toddlers
Symptoms
Streaking in underwear or diaper
Small amount of
Vaginal Bleeding
may be present
Vulvar Pruritus
Signs
Perform with child in open frog leg position
Vaginal erythema
White
Vaginal Discharge
Vulva
r excoriations may be present
Labs
Culture of peri-vaginal and peri-anal skin
Consider in suspected
Bacterial Infection
(
Streptococcus
,
Shigella
)
Differential Diagnosis
See
Vaginitis
See
Vaginal Discharge
Child Sexual Abuse
Vaginal Foreign Body (e.g. rolled up toilet paper)
Associated with foul smelling copious discharge
May irrigate with warm saline via IV catheter tip (without needle)
Yeast Vaginitis
Rare in pre-pubescent girls (even with recent
Antibiotic
use)
Bacterial Infection
Streptococcal
Vulvovaginitis
Similar to
Perianal Streptococcal Dermatitis
Shigella
Vulvovaginitis
Associated with copious discharge and recent
Diarrhea
l illness
Management
Improve peri-vaginal hygiene
Apply hypoallergenic topical to the affected area
Aquaphor
Vaseline
Desitin
Avoid irritants
Avoid baby powders
Avoid scented lotions
Avoid bubble bath
Avoid tight synthetic pants or underwear
Avoid sitting in a soapy bath
Apply soap at the end of the bath
Rinse well with fresh water
References
Claudius and Willner in Herbert (2019) EM:Rap 19(1): 2-4
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