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Picture of the Month
Robert A. Dershewitz, MD;
Lynne L. Levitsky, MD;
Murray Feingold, MD
Am J Dis Child. 1984;138(9):887-888.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Denouement and Discussion
Vulvovaginitis: A Cause of Clitorimegaly
Manifestations
The major manifestation is an enlarged, erythematous, edematous clitoris. The patient is usually afebrile but may have discomfort, a burning sensation, erythema, edema, and a discharge in the vulvovaginal area. Dysuria and urinary retention may occur if the urethra is affected. Following appropriate therapy, the enlarged clitoris returns to normal size. The vast majority of patients with vulvovaginitis do not have an enlarged clitoris.
Origin
Although a variety of infectious agents can cause vulvovaginitis, enlargement of the clitoris has been mainly associated with herpes simplex virus, usually type II. The clinical diagnosis of herpes genitalis can be confirmed by tissue culture, viral titers, or a demonstration of multi-nuclear giant cells on Tzanck stain.
Treatment
The specific therapy depends on the causal agent. Topical acyclovir ointment has been used in the treatment of the initial herpes genitalis infection. Symptomatic treatment may also
. . . [Full Text PDF of this Article]
Author Affiliations
Contributed from the Divisions of Ambulatory Pediatrics (Dr Dershewitz) and Endocrinology (Dr Levitsky), Department of Pediatrics, Michael Reese Hospital and Medical Center and Pritzker School of Medicine, University of Chicago.
Footnotes
Reprint requests to Tufts—New England Medical Center, Boston Floating Hospital, 171 Harrison Ave, Boston, MA 02111 (Dr Feingold).
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