Journal of pediatric and adolescent gynecology
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J Pediatr Adolesc Gynecol · Feb 2014
Case ReportsVaginal müllerian cyst: an unusual cause of vaginal bleeding in a 16-month-old girl.
Vaginal bleeding in premenarchal girls is always abnormal and its source must be identified for appropriate management. Examination under anesthesia and vaginoscopy are commonly employed for evaluation of the vagina as a source of bleeding, and the examination may occasionally reveal vaginal pathology. ⋯ Vaginal findings of causes of premenarchal bleeding such as Mullerian cysts may be diagnosed and treated with the vaginoscopic approach.
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J Pediatr Adolesc Gynecol · Dec 2013
Review Case ReportsUrogenital myiasis by Cordylobia anthropophaga.
Cordylobia anthropophaga is one of the most common agents of urogenital myiasis in African tropical regions. A case of vulvar myiasis due to the larvae of Cordylobia anthropophaga in a 16-year-old female is presented with a systematic review of the literature. ⋯ Diagnosis of vulvar myiasis must be considered if vulvar boil-like inflammatory papules are found, essentially in travelers to and from endemic countries. The diagnosis is mainly clinical and its management consists of the extraction of the larva.
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J Pediatr Adolesc Gynecol · Dec 2013
Assessment of anxiety and depression in adolescents with primary dysmenorrhea: a case-control study.
To examine the relationship between primary dysmenorrhea and symptoms of depression and anxiety among adolescent female students in Tbilisi, Georgia. ⋯ Primary dysmenorrhea is strongly linked with positive scores for depression and anxiety. Because of this association, attention should be given to effective mental health screening in these patients; psychological support may be necessary during their treatment and follow-up.
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J Pediatr Adolesc Gynecol · Dec 2013
Case ReportsSevere vaginal laceration in a 5-year-old girl caused by sudden hydro-distention.
Severe vaginal trauma in young girls is uncommon. We describe a 5-year-old girl who presented a vaginal laceration following sudden hydro-distention. ⋯ This case illustrates a rare mechanism of severe vaginal laceration, in a young girl, by hydro-distention. Though there are often no external lesions the internal lesions can be severe causing significant bleeding. Certainly in these cases aggressive diagnostic evaluation is necessary.
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Acne vulgaris is a commonly seen dermatologic condition that plagues millions and can be very psychosocially disabling. Severe and recalcitrant acne is typically treated with isotretinoin. Isotretinoin is a synthetic vitamin A derivative that has been available since 1982. ⋯ Despite its effectiveness,it has been associated with inflammatory bowel disease, depression, suicidality, and teratogenicity. We review the current literature on isotretinoin's role in inflammatory bowel disease, depression, and suicidality. In addition, we review whether or not the iPledge program has been successful at reducing pregnancy rates while on isotretinoin.