Pediatrics in Review
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(Pediatrics in Review. 2006;27:116-117.)
© 2006 American Academy of Pediatrics

In Brief

Vulvovaginitis

The first 20% of the full text of this article appears below.

Vulvovaginitis in the Child and Adolescent. Vandeven AM, Emans SJ. Pediatr Rev. 1993;14 :141 –147[Abstract/Free Full Text]

Pediatric Vulvovaginitis. Farrington PF. Clin Obstet Gynecol. 1997;40 :135 –140[CrossRef][Medline]

Pruritus Vulvae in Prepubertal Children. Paek SC, Merritt DF, Mallory SB. J Am Acad Dermatol. 2001;44 :795 –802[CrossRef][Medline]

Vulvovaginitis During Childhood and Adolescence. Koumantakis EE, Hassan EA, Deligeoroglou EK, Creatsas GK. J Pediatr Adolesc Gynecol. 1997;10 :39 –43[Medline]

Vaginitis in the Adolescent Patient. Nyirjesy P. Pediatr Clin North Am. 1999;46 :733 –745[CrossRef][Medline]

Common Office Problems in Pediatric Urology and Gynecology. Brown MR, Cartwright PC, Snow BW. Pediatr Clin North Am. 1997;44 :1091 –1115[CrossRef][Medline]

Vulvovaginitis is an inflammation of the vulva and vaginal tissues. The usual symptoms are discharge, discomfort, pain or pruritus, vulvar irritation, or burning on urination. With infants and young children, the parent may report a discharge on the diaper or panties, an abnormal vaginal odor, or redness of the vulva. The epidemiology and presentation of vulvovaginitis differ in prepubescent and adolescent girls. In childhood, the infection begins in the vulva, with secondary spread to the vagina; in adolescence, particularly after the onset of sexual intercourse, vaginal involvement is primary.

Young girls are particularly susceptible to vulvovaginitis. The genital area is close to the rectum, and without the labial fat pads and pubic hair that come with maturity, the vulva of a young child is unprotected. Vulvar skin is thin and particularly sensitive to trauma from scratching or rubbing or to exposure to irritants such as harsh soaps or bubble baths. The vaginal mucosa of young girls also is thin and relatively atrophic, and the vaginal cavity, with its neutral pH, warmth, and moisture, makes . . . [Full Text of this Article]


Faye Kokotos, MD
 Children’s Hospital at Montefiore Bronx, NY

Henry M. Adam, MD, Editor, In Brief




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