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February 1991, Vol 145, No. 2 >
Article | February 1991

Diagnosis of Child Sexual Abuse in Children With Genital Warts-Reply FREE

ALAN S. BOYD, MD
Am J Dis Child. 1991;145(2):126-127. doi:10.1001/archpedi.1991.02160020016005.
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In Reply.—I am indebted to Gutman et al for their careful and critical analysis of this work.1 They may or may not be correct when they propose that the 27% incidence rate of sexual abuse found in this review was too low. As stated in the article, many authors believe that the presence of condylomata acuminata in children is all but pathognomonic of sexual assault.2-4 Conflicting evidence has also recently been presented.5,6 It should be noted that, while admirable, it was not the point of my article to apply the criteria for child abuse discussed in it to the cases currently in the literature.

The consideration of sexual contact should be entertained when any child presents with venereal warts. As Herman-Giddens2 has previously noted, those physicians who deal with pediatric venereal warts are hampered by the fact that methods for ascertaining the means of their acquisition are

REFERENCES

1 +
Boyd AS.  Condylomata acuminata in the pediatric population . AJDC . 1990;;144:817-823.
2 +
Herman-Giddens M.  Condylomata acuminata in children and sexual abuse . Genitourin Med . 1985;;61:68.
3 +
Schachner L, Hankin DE.  Assessing child abuse in childhood condyloma acuminatum . J Am Acad Dermatol . 1985;;12:157-160.
4 +
Goldenring JM.  Condylomata acuminata in the evaluation of child sexual abuse . Arch Dermatol . 1987;;123:1265-1266.
5 +
Obalek S, Jablonska S, Favre M, Walczak L, Orth G.  Condolymata acuminata in children: frequent association with human papillomavirus responsible for cutaneous warts . J Am Acad Dermatol . 1990;;23:205-213.
6 +
Cohen BA, Honig P, Androphy E.  Anogenital warts in children . Arch Dermatol . 1990;;126:1575-1580.
7 +
Herbert CP.  Expert medical assessment in determining probability of alleged child sexual abuse . Child Abuse Negl . 1987;;11:213-221.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Boyd AS.  Condylomata acuminata in the pediatric population . AJDC . 1990;;144:817-823.
2 +
Herman-Giddens M.  Condylomata acuminata in children and sexual abuse . Genitourin Med . 1985;;61:68.
3 +
Schachner L, Hankin DE.  Assessing child abuse in childhood condyloma acuminatum . J Am Acad Dermatol . 1985;;12:157-160.
4 +
Goldenring JM.  Condylomata acuminata in the evaluation of child sexual abuse . Arch Dermatol . 1987;;123:1265-1266.
5 +
Obalek S, Jablonska S, Favre M, Walczak L, Orth G.  Condolymata acuminata in children: frequent association with human papillomavirus responsible for cutaneous warts . J Am Acad Dermatol . 1990;;23:205-213.
6 +
Cohen BA, Honig P, Androphy E.  Anogenital warts in children . Arch Dermatol . 1990;;126:1575-1580.
7 +
Herbert CP.  Expert medical assessment in determining probability of alleged child sexual abuse . Child Abuse Negl . 1987;;11:213-221.

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