Abstract
All girls age 11 and under presenting to the pediatric clinic between 1978-1986 with genital warts were evaluated by the Child Protection Team for coinfetiting STD's and sexual abuse.
The 11 children were 1.5-3 yrs (5), 3-6 yrs (1) and 6-11 yrs (5). All had perirectal and/or perivaginal warts, diagnosed by inspection (5) or biopsy (6). Nine had condyloma acuminata and two had crops of verruca volgaris. Nine had findings indicative of sexual abuse including discharge (5), bleeding (5), foul odor (4), hymenal diameter :> 10 mm d), and anal gaping (1).
One or more other STD's were diagnosed in 6 children. Cases/number studied were:
Tie abuser (s)of 7 were identified. Two girls had multiple abusers and 3 others were highly suspected to have had multiple abusers. These 5 children had other coinfecting STD's.
Conclusion: Sexual transmission of genital warts is demonstrated in 9 of the 11 girls by additional indicators including statements from the child, physical evidence, ano coinfecting STD's. Children with genital warts should be evaluated for other STD's and sexual abuse .Coinferting STD's may be an indicator of multiple abusers in children with genital warts.
Article PDF
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Marcia, E., Gutman, L. & Berson, N. GENITAL WARTS:CO-INFECTING SEXUALLY TRANSMITTED DISEFISES(STD'S) AND MULTIPLE ABUSERS IN GIRLS. Pediatr Res 21 (Suppl 4), 326 (1987). https://doi.org/10.1203/00006450-198704010-00952
Issue Date:
DOI: https://doi.org/10.1203/00006450-198704010-00952