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This monograph will be a disappointment to the reader who is expecting an informative treatise on pediatric gynecology. Several common genital disorders in children are not mentioned and some other pertinent matters are treated superfically.
Preparing the mother and child so that both of them accept the idea that the girl is to be examined is almost as important as the examination itself; nevertheless, both the preparation for and the technique of examination are dealt with very briefly. Failure to emphasize both of these crucial matters may explain why the author lists a number of conditions as indications for examination under anesthesia which ordinarily should be managed while the child is awake.
Vulvovaginitis, which comprises approximately 80% of the problems seen in a pediatric gynecologic clinic, is summarily dealt with in 6½ pages whereas 13 pages are given to exstrophy of the bladder.
Lichen sclerosis is the only dermatologic disorder
HUFFMAN JW. Gynecological Disorders of Infants and Children.. Am J Dis Child. 1964;108(1):114–115. doi:10.1001/archpedi.1964.02090010116024