儿童肛门生殖器疣：是否遭受性虐待？

Ano-genital warts in children: Sexual abuse or not?

作者信息

Hornor Gail

机构信息

Columbus Children's Hospital, Center for Child and Family Advocacy, Child Assessment Center, 700 Children's Dr., Columbus, OH 43205, USA.

出版信息

J Pediatr Health Care. 2004 Jul-Aug;18(4):165-70. doi: 10.1016/j.pedhc.2003.01.001.

DOI:10.1016/j.pedhc.2003.01.001

PMID:15224040

Abstract

Child sexual abuse is a problem that affects many Americans. The diagnosis of sexual abuse is typically made on the basis of the child's history. Objective evidence of sexual abuse, including abnormal physical findings noted on physical examination or the presence of a sexually transmitted disease, are rare. Ano-genital warts are one of the most common sexually transmitted diseases found in adults. However, is the presence of ano-genital warts in children evidence of sexual abuse? The link between ano-genital warts and child sexual abuse requires an understanding of wart transmission and incubation period to properly interpret their significance. Ano-genital warts in children have serious medical, social, and legal implications. It is important that primary care providers have an understanding of the appearance, mode of transmission, and incubation period of human papilloma virus in children. Implications for practice will provide guidelines for diagnosing, evaluating, and properly managing ano-genital warts in children.

摘要

儿童性虐待是一个影响众多美国人的问题。性虐待的诊断通常基于儿童的病史。性虐待的客观证据，包括体格检查中发现的异常体征或性传播疾病的存在，较为罕见。肛门生殖器疣是成年人中最常见的性传播疾病之一。然而，儿童出现肛门生殖器疣是否能证明存在性虐待呢？肛门生殖器疣与儿童性虐待之间的联系需要了解疣的传播和潜伏期，以便正确解读其意义。儿童肛门生殖器疣具有严重的医学、社会和法律影响。初级保健提供者了解儿童人乳头瘤病毒的外观、传播方式和潜伏期非常重要。对实践的启示将为诊断、评估和妥善处理儿童肛门生殖器疣提供指导方针。