| Vulvodynia in preadolescent girls. | |
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MedLine Citation:
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PMID: 18820538 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Although vulvodynia occurs in approximately 7% of adult American women, we hypothesize that vulvodynia also occurs in young girls and that they respond to treatments that are similar to those used in women with this disorder. MATERIALS AND METHODS: This is a retrospective case study of vulvodynia in preadolescent girls seen in our referral practice. Records of all office visits and any telephone or e-mailed follow-up were reviewed. RESULTS: Between October 1996 and April 2006, 6 girls ages 4 to 11 years were evaluated and diagnosed with vulvodynia. Pain had been present for several months to 7 years, and most patients had been seen by several physicians before having this diagnosis made. Treatment was typically initiated with a tricyclic antidepressant, and 5 of the 6 girls noted improvement in their symptoms, including 2 who had marked improvement, and another 3 with substantial improvement who were able to discontinue therapy without a recurrence. CONCLUSIONS: Vulvodynia does occur among young girls and, when treated as a neuropathic pain disorder, was found to dramatically improve or remit in the majority of those treated in this small case series. This underrecognized disorder should be considered in cases of ongoing vulvar discomfort, regardless of age. |
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Authors:
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Barbara D Reed; Lauren E Cantor |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of lower genital tract disease Volume: 12 ISSN: 1526-0976 ISO Abbreviation: J Low Genit Tract Dis Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-09-29 Completed Date: 2009-02-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9704963 Medline TA: J Low Genit Tract Dis Country: United States |
Other Details:
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Languages: eng Pagination: 257-61 Citation Subset: IM |
Affiliation:
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Department of Family Medicine, University of Michigan, Ann Arbor, MI, 48104-1213, USA. barbr@umich.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Antidepressive Agents, Tricyclic
/
administration & dosage,
therapeutic use Child Child, Preschool Chronic Disease Female Humans Nortriptyline / administration & dosage, therapeutic use Pain / drug therapy, epidemiology* Retrospective Studies Vulvar Diseases / drug therapy, epidemiology* |
| Chemical | |
Reg. No./Substance:
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0/Antidepressive Agents, Tricyclic; 72-69-5/Nortriptyline |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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