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Victoria Levine, MD; Miguel Sanchez, MD; Mark Nestor, MD, PhD

Arch Dermatol. 1992;128(6):804-806.

Abstract
• Background.—
Various primary dermatoses can affect the vulva of children and be misdiagnosed as child abuse, with devastating social consequences.

Observation.—
A 3-year-old girl with vulvar erosions was removed from her parent's care after a pediatrician and gynecologist diagnosed child abuse. Histopathologic and immunofluorescence studies were consistent with vulvar pemphigoid.

Conclusion.—
Localized pemphigoid should be added to the differential diagnosis of vulvar lesions. Dermatologists, pediatricians, and gynecologists should be familiar with nonvenereal diseases that can exclusively affect this area. The dermatologist's expertise is particularly valuable in differentiating between primary diseases and sexual abuse.

(Arch Dermatol. 1992;128:804-806)

Author Affiliations
From the The Ronald O. Perelman Department of Dermatology, New York (NY) University Medical Center.

Footnotes
Accepted for publication March 13, 1992.

Reprint requests to Ronald O. Perelman Department of Dermatology, New York University Medical Center, 550 First Ave, New York, NY 10016 (Dr Sanchez).

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