Treatment of Clitoral Keratin Pearls with Topical Estrogen Cream: Case Report - 27/04/23
, Nivedita Umasankar 2, Judith T. Burgis 2, Kristl V. Tomlin 2ABSTRACT |
Background |
Keratin pearls are intraepithelial accumulations of squamous cells and debris that can be an etiology of vulvovaginal irritation in pediatric patients and are often associated with clitoral adhesions. Historically, most cases have been managed with manual or operative lysis of adhesions.
Case |
Two prepubertal girls presented to our clinic with chronic clitoral irritation and were found to have clitoral adhesions with keratin pearls. Both were managed with topical estrogen cream, which resulted in resolution of their symptoms.
Summary and Conclusion |
Keratin pearls can form when the overlying clitoral epithelium becomes blocked by clitoral adhesions. Hypoestrogenism is thought to be implicated in adhesion development; thus, topical estrogen cream is a reasonable option in initial management. Our results demonstrate a noninvasive alternative to the initial treatment of clitoral keratin pearls.
El texto completo de este artículo está disponible en PDF.Key Words : Keratin pearl, Clitoral adhesion, Topical estrogen cream
Esquema
| There was no source of funding for this study, nor do the authors have any financial interests to disclose. |
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| Previously presented: (Poster Presentation) 33rd Annual North American Society for Pediatric and Adolescent Gynecology (NASPAG) Annual Clinical and Research Meeting. New Orleans, LA. April 2019. |
Vol 36 - N° 3
P. 321-323 - juin 2023 Regresar al número
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