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JOHN M. GOLDENRING, MD, MPH
245 Terracina Blvd, No. 202 Redlands, CA 92373

Am J Dis Child. 1991;145(6):600-601.

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

Sir.—A number of points about the recent article by Boyd¹ on human papillomavirus (HPV) genital infections in children need to be made so that pediatricians and other concerned professionals, such as Family Court judges, are not confused or misled by this attempt at a "metaanalysis" of previous case reports.

First, as Disraeli once noted, "There are lies, there are damned lies, and there are statistics!" I have a very basic quarrel with Boyd's statistical analysis because he analyzes all cases together. One major question—how often condylomata acuminata are representative of sexual transmission, ie, sexual abuse in children—does not lend itself to this "lumping" of data.

To answer this important question, one must exclude children younger than age 1.5 years, since most of these cases are due to vertical transmission at or even before birth. One must also exclude teenagers, who may be having consensual sexual relations, and . . . [Full Text PDF of this Article]

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