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February 1939

GONORRHEAL VAGINITIS OF CHILDRENWITH REPORT OF AN AUTOPSY

Author Affiliations

NEW YORK
From the Department of Pediatrics, Metropolitan Hospital, Department of Hospitals, and the Pathological Department of New York Medical College.

Am J Dis Child. 1939;57(2):291-305. doi:10.1001/archpedi.1939.01990020049004
Abstract

Few anatomic, physiologic, bacteriologic or pathologic studies of the normal or the gonorrhea-infected vagina and cervix in the infant and in the child have been reported.1 Lewis,2 the first to give impetus to such studies, reported the use of estrogen in the treatment of gonorrheal vaginitis. Since then his studies as well as those of others have emphasized the histologic variations in the lower part of the genital tract in children as well as the effect of estrogenic therapy on the hydrogen ion concentration and the cellular content of the vaginal secretion. Reichert3 and his co-workers reported on the bacteriologic conditions of the lower part of the genital tract in infected children. Pathologic studies were directed mainly toward determining the presence or absence of cervicitis or endocervicitis in cases of gonorrheal infection in children. Ronchese4 in Italy reported observations on 3 cases in which autopsy was

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