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Esperienze Dermatologiche 2016 September-December;18(3-4):153-7

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: Italian

Sexually-transmitted diseases in pediatric patients

Donato CALISTA 1, Luigi VALENZANO 2

1 Unità Operativa di Dermatologia, Ospedale “M. Bufalini”, Cesena, Italia; 2 Istituto San Gallicano, Roma, Italia


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Sexually-transmitted infections (STIs) are the result of contact between a pathogenic microbial species and a healthy subject and are usually, but not always, transmitted during sexual intercourse. Indeed, an infection can be caught by babies either in utero or during transit through the birth canal, or when being breast-fed; by small children through accidental contact with a carrier. Moreover, in school age children and pre-pubertal youngsters the possibility of sexual abuse has to be excluded. Finally, during puberty diagnosis of an STI can occur by consenting to sexual relations. The diagnosis of STIs in children can be difficult when the disease presents with asymptomatic or non-specific findings, because of the complex interpretation of laboratory results. In view of the possibility of false positive laboratory tests and the potential consequences of inevitable, wrongful stigma it is essential to adopt a strategy which enables a diagnosis to be made in a single session, during which all laboratory tests are carried out in order to avoid repeated suffering to both child and parents.

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