In Reply.—I would like to thank Dr Goldenring for his careful analysis of my article. Although I am unsure of the exact meaning of "meta-analysis" in this context, I can assure him that, like most retrospective analyses of the literature, this project was undertaken with the desire to better define the picture, not muddy the waters. It was never my intent to assess the problem with a statistical analysis; otherwise, inferences would have been made from them. These figures are simply a compilation of what is present in the literature.
Goldenring seems to intimate that the percentage of children who acquire venereal warts from molestation is much higher, an opinion not held by all experts and for which significant evidence to the contrary now exists.1,2 Cohen et al1 evaluated 73 children with anogenital warts and concluded that fewer than 10% had been sexually abused. Likewise, Obalek and coworkers2
BOYD AS. Condylomata Acuminata: Still Usually a Sexually Transmitted Disease in Children-Reply. Am J Dis Child. 1991;145(6):601-602. doi:10.1001/archpedi.1991.02160060017008