RESUMEN
Bacterial and fungal vulvitis, dermatitis, inflammatory dermatoses, secondary drug reactions, viral infections, and a variety of vulvar tumors can all present as primary vulvar problems in adolescents. In addition, systemic disease can present with vulvar involvement. These disorders can be extremely anxiety-provoking in adolescent females who are dealing with issues surrounding self-image, physical maturation, and sexuality. A detailed history and physical exam can provide many clues to the underlying problem, but sometimes a biopsy is necessary to establish a diagnosis. Consultations from other services, such as dermatology or infectious diseases, can be very helpful. The best approach involves a combination of empathetic reassurance, careful diagnosis, and successful treatment. In order to facilitate optimal care of adolescents with vulvar disorders, a comprehensive review of the literature is presented.
Asunto(s)
Enfermedades de la Piel , Enfermedades de la Vulva , Adolescente , Dermatitis/diagnóstico , Dermatitis/terapia , Femenino , Humanos , Enfermedades de la Piel/diagnóstico , Enfermedades de la Piel/terapia , Enfermedades Cutáneas Papuloescamosas/diagnóstico , Enfermedades Cutáneas Papuloescamosas/tratamiento farmacológico , Enfermedades Cutáneas Vesiculoampollosas/diagnóstico , Enfermedades Cutáneas Vesiculoampollosas/tratamiento farmacológico , Enfermedades Cutáneas Virales/diagnóstico , Enfermedades Cutáneas Virales/terapia , Enfermedades de la Vulva/diagnóstico , Enfermedades de la Vulva/terapia , Neoplasias de la Vulva/diagnóstico , Neoplasias de la Vulva/terapiaRESUMEN
OBJECTIVE: To review and discuss vulvar disorders in prepubertal girls. STUDY DESIGN: Literature review. RESULTS: Bacterial and fungal vulvitis, dermatitis, inflammatory dermatoses, secondary drug reactions, viral infections and a variety of vulvar tumors can all present as primary vulvar problems in prepubertal girls. In addition, systemic diseases can present with vulvar involvement. CONCLUSION: In order to facilitate optimal care of prepubertal girls with vulvar disorders, a comprehensive review of the literature is presented.