Document Detail


Sexually transmitted diseases in children.
MedLine Citation:
PMID:  1492047     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sexually transmitted diseases (STDs) in children may be transmitted by sexual abuse, by accidental contact, or perinatally. Although only 2% to 10% of abused children become infected, childhood syphilis, gonorrhea, condylomata acuminata, and Chlamydia trachomatis must always be considered. We reviewed data from our hospital regarding the frequency, prevalence, routes of transmission, and clinical features of these infections. Ninety-five percent of acquired syphilis in children is transmitted by sexual abuse. The perpetrator is usually someone the child knows or trusts. Of our 21 patients under 14 years of age with acquired syphilis, most were 4 to 8 years old. Girls were infected twice as often as boys. Sexual contact was confirmed in 71.4%. A chancre sore was infrequent in children; condylomata lata was the most frequent cutaneous lesion (80.9%). In the last 10 years, 102 cases of congenital syphilis were diagnosed in our hospital. The main clinical findings were bone involvement (78.7%), hepatosplenomegaly (68.8%), cutaneous lesions (50.8%), and jaundice (15.1%). Gonorrhea was detected in only nine children. Vulvovaginitis was the most common clinical manifestation. Sexual transmission was documented in three patients. Accidental contact with their infected mother occurred in two sisters. Three newborns acquired the disease during delivery. The STDs in children are a worrisome problem. Evaluation for sexual abuse should be done in all cases. Prevention and treatment of adults are the main steps to prevent these infections in children.
Authors:
G Lowy
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric dermatology     Volume:  9     ISSN:  0736-8046     ISO Abbreviation:  Pediatr Dermatol     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-03-01     Completed Date:  1993-03-01     Revised Date:  2009-03-03    
Medline Journal Info:
Nlm Unique ID:  8406799     Medline TA:  Pediatr Dermatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  329-34     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child Abuse, Sexual / complications
Child, Preschool
Chlamydia Infections / transmission
Condylomata Acuminata
Female
Gonorrhea / transmission
Humans
Male
Pregnancy
Sexually Transmitted Diseases* / etiology
Syphilis / transmission
Syphilis, Congenital / transmission

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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