[The usefulness of combined gynecologic and endocrinologic consultation in pediatrics: a retrospective study of the reasons for consultation and the practical approach].
The gynaecological issues encountered in children and teenagers lay at the intersection of paediatric endocrinology and gynaecology. More than ten years ago, an outpatient clinic in paediatric endocrinology and gynaecology has been created. Here, we review the last 6 years. 214 girls were included, considering only the first visit for each patient. Collected data are initial concern for this consultation, age at first consultation and confirmed or suspected diagnosis. A classification is done according to the initial concern of patients in six categories. Principal queries concern pubertal development, precocious pilosity or abnormalities in menstrual cycles. Vulvovaginitis and morphologic abnormalities are also frequently encountered. This consultation suggests a paediatric approach with a child feeling confident and a gynaecological examination with a specialist knowing the anatomy particularities and the development of the children. This article focuses on the importance of specific gynaecological examination in children and reviews the main diseases encountered.
Service de Pédiatrie, CHU NDB, Université de Liège, Belgique.
J
J
Harvengt
M C
MC
Retz
J M
JM
Foidart
J P
JP
Bourguignon
M C
MC
Lebrethon
D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration; D000554:Ambulatory Care Facilities / Q000458:organization & administration; D001530:Belgium / Q000453:epidemiology; D002648:Child; D002662:Child Health Services / Q000458:organization & administration; D002675:Child, Preschool; D004700:Endocrine System Diseases / Q000175:diagnosis; D004704:Endocrinology; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis / Q000453:epidemiology; D058869:Gynecological Examination / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D006176:Gynecology; D006801:Humans; D007223:Infant; D008599:Menstruation Disturbances / Q000175:diagnosis / Q000453:epidemiology; D010372:Pediatrics; D010808:Physical Examination / Q000706:statistics & numerical data; D012017:Referral and Consultation; D012189:Retrospective Studies; D014623:Vaginal Diseases / Q000175:diagnosis / Q000453:epidemiology; D014845:Vulvar Diseases / Q000175:diagnosis / Q000453:epidemiology; D055815:Young Adult