Pediatric Vulvovaginitis

Abstract

Vulvovaginitis is one of the most common gynecologic complaints in prepubertal girls. It is usually quite easy to treat with the elimination of risk factors and simple hygiene measures. Knowledge of the risk factors combined with a thorough pediatric gynecologic exam will help to distinguish between nonspecific vulvovaginitis, specific pathogens, and other less common dermatologic diseases. The most common specific pathogens tend to be Streptococcus pyogenes and Haemophilus influenzae. Rarely Candida albicans is the culprit. The prognosis for most causes of vulvovaginitis is excellent. In rare situations a sexually-transmitted disease may be the offender and a careful evaluation for possible sexual abuse should be entertained. If the condition fails to respond to traditional treatment, referral to a specialist may be warranted. © 2013 John Wiley and Sons, Ltd.