This picture demonstrates condylomata acuminata of the right vaginal wall and posterior fourchette in a prepubertal child caused by human papilloma virus. Transmission may be sexual or nonsexual. Consultation with a child abuse specialist is warranted to determine the need for further evaluation for sexual abuse.
Reproduced with permission from: Emans SJ. Vulvovaginal problems in the prepubertal child. In: Emans, Laufer, and Goldstein's Pediatric and Adolescent Gynecology, 6th ed, Emans SJ, Laufer MR (Eds), Lippincott Williams & Wilkins, Philadelphia 2011. Copyright © 2011 Lippincott Williams & Wilkins.
www.lww.com. This image was republished in Emans, Laufer, Goldstein's Pediatric and Adolescent Gynecology, 7th Ed (2019).
