151. Genital Disease in Children

  1. Alan D. Irvine MD, FRCPI, FRCP2,3,
  2. Peter H. Hoeger MD4,5 and
  3. Albert C. Yan MD, FAAP, FAAD6,7
  1. Gayle O. Fischer MBBS, FACD

Published Online: 24 MAY 2011

DOI: 10.1002/9781444345384.ch151

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

How to Cite

Fischer, G. O. (2011) Genital Disease in Children, in Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition (eds A. D. Irvine, P. H. Hoeger and A. C. Yan), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444345384.ch151

Editor Information

  1. 2

    Trinity College, Dublin, Ireland

  2. 3

    Our Lady's Children's Hospital, Dublin, Ireland

  3. 4

    University of Hamburg, Hamburg, Germany

  4. 5

    Catholic Children's Hospital Wilhelmstift, Hamburg, Germany

  5. 6

    University of Pennsylvania School of Medicine, Philadelphia, PA, USA

  6. 7

    The Children's Hospital of Philadelphia, Philadelphia, PA, USA

Author Information

  1. The Northern Clinical School, The University of Sydney, Sydney, Australia

Publication History

  1. Published Online: 24 MAY 2011
  2. Published Print: 3 JUN 2011

ISBN Information

Print ISBN: 9781405176958

Online ISBN: 9781444345384



  • genital;
  • penis;
  • perianal;
  • perineum;
  • scrotum;
  • sexual abuse;
  • vagina;
  • vulva;
  • vulvodynia


Genital skin disease in children most commonly presents with inflammatory dermatoses: eczema, psoriasis and lichen sclerosus. Non-sexually acquired infective genital disease is uncommon and is predominantly caused by Group A Streptococcus pyogenes, although Staphylococcus aureus may present with folliculitis and toxin-mediated erythema. Genital candidal infections do not occur in healthy prepubertal children. Acute non-sexually acquired genital ulceration is an emerging condition which may be associated with aphthosis and viral infections. Naevi, including melanocytic, vascular and epidermal, may involve the genital skin. The most common causes of anatomical abnormality are fusion of the labia minora and perineal protrusion in girls and phimosis and pearly penile papules in boys. Rarely, structural anomalies and syndromes involve the genitalia. Neoplasia, benign and malignant, is rare. Vulvodynia is very rare in children but has been reported. Many genital skin diseases have been confused with sexual abuse in children, but the latter rarely presents with cutaneous signs.