You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 162 No. 1, January 2008 TABLE OF CONTENTS
  Archives
  •  Online Features
  Special Feature
 This Article
 •Full text
 •PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Contact me when this article is cited
 Related Content
 •Related article
 •Similar articles in this journal
 Topic Collections
 •Picture of the Month
 •Infectious Diseases
 •Viral Infections
 •Alert me on articles by topic

Picture of the Month—Quiz Case

Cynthia Marie Carver DeKlotz, MD; Ilona J. Frieden, MD

Arch Pediatr Adolesc Med. 2008;162(1):86.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 12-year-old girl was referred for evaluation of vulvar ulcers. Ten days prior to her visit, she developed a fever lasting for 3 days. On the third day of her fever, she developed dysuria and was seen by her pediatrician, who treated her for a presumed urinary tract infection. Within a few days, however, she developed severe vulvar pain and was seen at a local emergency department where viral cultures of an ulcer for herpes simplex and urine cultures were obtained. Results of both were negative, and she was treated empirically with valacyclovir hydrochloride, prednisone, and trimethoprim/sulfamethoxazole.

One week after the onset of symptoms, her pain was beginning to improve, but she continued to experience mild dysuria. She denied any sexual activity, history of vulvar trauma, gastrointestinal complaints, or other constitutional symptoms.

Examination of her external genitalia was notable for vulvar . . . [Full Text of this Article]

Author Affiliations: Washington Hospital Center/Georgetown University School of Medicine, Washington, DC (Dr DeKlotz); and Department of Dermatology, School of Medicine, University of California, San Francisco (Dr Frieden).


RELATED ARTICLE

Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2008;162(1):87.
EXTRACT | FULL TEXT  






HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 2008 American Medical Association. All Rights Reserved.