Sir.—We appreciate the review by Boyd1 on condylomata acuminata in children in the July issue of AJDC. This review of the results of the various forms of therapy of genital warts in children was helpful in emphasizing the need for more data regarding the immediate and late results of therapy.
We are writing, in part, to comment on the data regarding the prevalence of sexual abuse in children who develop genital warts. While presenting a case report of any medical condition, the justification for the diagnosis and any critical negative results should be given in sufficient detail to allow the reader to appreciate the basis of the diagnosis. The medical diagnosis of child sexual abuse has been the subject of very active research during the past decade, and the methods for adequate assessment of sexual abuse in a child now include each of the following areas: (1) assessments