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Foreign Body Vaginitis Caused by Toilet Tissue

Am J Dis Child. 1966;111(5):529-532. doi:10.1001/archpedi.1966.02090080107008.
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BOTH GYNECOLOGISTS and pediatricians have long recognized foreign bodies as a cause of pediatric vaginitis. Gray1 described three foreign bodies in 200 cases. Lang2 found two foreign bodies in 110 children and Schauffler3 noted nine foreign bodies in 302 children. The objects removed from the vagina constitute a veritable museum of curiosities1-8 and include such items as safety pins, hairpins, bits of folded paper, crayons, twigs, splinters of wood, cherries, plum pits, paper clips, beads, bits of toys, pencil erasers, sand, stones, marbles, cotton, shells, nuts, corks, and even insects.

The purpose of this paper is to describe a new entity, toilet tissue, as a cause of pediatric vaginitis. Dewhurst5 mentioned "paper" along with other objects, but did not specify toilet paper. Huffman6 described "bits of paper rolled into small pellets," but the implication was not that it was toilet tissue. In all our


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