To the Editor.—
I would like to comment on the recent article by Rock et al on condylomata acuminata in children,1 and the subsequent editorial by Bender,2 speaking from the point of view of a pediatrician involved in the study and evaluation of child sexual abuse and sexually transmitted diseases (STDs) in children.Rock et al document evidence of sexual abuse in three of their five cases, approximately the percentage of good documentation that has been obtained in other pediatric cases.3 Another case (No. 3) appears most likely to have been congenitally transmitted, since the patient was less than one year of age.Beyond one year of age, however, I believe that condylomata acuminata must be considered nearly always as a sexually transmitted phenomenon, unless the presentation is very atypical. Examples of atypical genital lesions would be common wart growths that occasionally appear on the buttocks or
Goldenring JM. Condylomata Acuminata in the Evaluation of Child Sexual Abuse. Arch Dermatol. 1987;123(10):1265–1266. doi:10.1001/archderm.1987.01660340025002
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