Constipation as a feature of anogenital lichen sclerosus in children.
Pediatrics
; 115(2): e230-2, 2005 Feb.
Article
em En
| MEDLINE
| ID: mdl-15629956
ABSTRACT
OBJECTIVE:
To call attention to constipation as a frequent sign of lichen sclerosus (LS) in girls.METHODS:
A focused questionnaire was sent to parents of 24 girls with anogenital LS seen in the pediatric dermatology clinic at the Children's Hospital of Wisconsin between January 2001 and May 2004.RESULTS:
Eighteen of 24 questionnaires were completed and returned. The average age of onset of LS was 4.2 years, but average age at diagnosis was 5.2 years; only 1 patient was diagnosed correctly by her primary care physician. Itching was the most common symptom (78%). Severe constipation was reported in 67% of patients, and 89% had at least 1 gastrointestinal complaint (bleeding with bowel movements, fissuring, soiling, fecal impaction, or constipation).CONCLUSIONS:
Childhood anogenital LS often presents with recalcitrant constipation or some other gastrointestinal complaint. Primary care physicians need to consider the diagnosis of LS and perform a thorough examination by looking for anogenital lesions when a female pediatric patient presents with unexplained constipation or other severe gastrointestinal complaints.
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Base de dados:
MEDLINE
Assunto principal:
Doenças do Ânus
/
Doenças da Vulva
/
Líquen Escleroso e Atrófico
/
Constipação Intestinal
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article