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May 1952

RECTAL LESIONS OF LYMPHOGRANULOMA VENEREUM IN CHILDHOOD: Review of the Literature and Report of a Case in a Ten-Year-Old Boy with Rectal Stricture

Author Affiliations

From the Department of Surgery of the Medical College of the State of South Carolina.

AMA Am J Dis Child. 1952;83(5):660-662. doi:10.1001/archpedi.1952.02040090106013

LYMPHOGRANULOMA venereum is generally considered a disease of adult life and its occurrence in childhood a rarity. A review of the literature bears this out. Therefore, this case of a 10-year-old boy with a rectal stricture due to lymphogranuloma venereum seems to merit reporting.

Lymphogranuloma venereum is an infectious disease caused by a virus and usually transmitted by venereal contact. It is a systemic disease with many varied local manifestations, which include inguinal adenitis, esthiomene (elephantiasis of the vulva), urethritis, conjunctivitis, and the anorectal syndrome of proctitis and

stricture formation. No one symptom is pathognomonic of the disease. The diagnosis is suggested by the clinical picture and confirmed by the Frei test and/or the complement-fixation reaction.

A synopsis of previously reported cases1 of rectal manifestations of lymphogranuloma venereum in children in the world literature is presented in the accompanying table. A study of the table reveals some interesting data.