Journal of Pediatric and Adolescent Gynecology
Volume 20, Issue 3 , Pages 163-172 , June 2007

Guidelines for Medical Care of Children Who May Have Been Sexually Abused

  • Joyce A. Adams, MD

      Affiliations

    • University of California, San Diego School of Medicine, San Diego, California
    • Corresponding Author InformationAddress correspondence to: Joyce A. Adams, MD, University of California, San Diego Medical Center, 200 W. Arbor Drive, San Diego, CA 92103-8449
    • ,
  • Rich A. Kaplan, MD

      Affiliations

    • Midwest Children's Resource Center, Children's Hospitals and Clinics of Minnesota, St. Paul, Minnesota
    • ,
  • Suzanne P. Starling, MD

      Affiliations

    • Child Abuse Program, Children's Hospital of the Kings Daughters, Eastern Virginia Medical School, Norfolk, Virginia
    • ,
  • Neha H. Mehta, MD

      Affiliations

    • Sunrise Children's Hospital, Las Vegas, Nevada
    • ,
  • Martin A. Finkel, DO

      Affiliations

    • Child Abuse Research, Education and Service Institute, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey
    • ,
  • Ann S. Botash, MD

      Affiliations

    • SUNY Upstate Medical University, Syracuse, New York
    • ,
  • Nancy D. Kellogg, MD

      Affiliations

    • University of Texas Health Science Center, San Antonio, San Antonio, Texas
    • ,
  • Robert A. Shapiro, MD

      Affiliations

    • Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA

References 

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  2. Kellogg NK and the American Academy of Pediatrics, Committee on Child Abuse and Neglect: Clinical Report: The evaluation of sexual abuse in children. Pediatrics. 2005;116:506
  3. Adams J. Evolution of a classification scale: medical evaluation of suspected child sexual abuse. Child Maltreatment. 2001;6:31
  4. Sexually Transmitted Diseases Treatment Guidelines, 2002. Centers for Disease Control, MMWR, May 10, 2002/Vol. 51/No. RR-6. Available: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5106a1.htm#AssaultSTDs. Accessed June 1, 2004.
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  6. Myhre AK, Berntzen K, Bratlid D. Genital anatomy in non-abused preschool girls. Acta Paediatr. 2003;92:143
  7. Adams J. Medical evaluation of suspected child sexual abuse. J Pediatr Adolesc Gynecol. 2004;17:191
  8. Adams J: Approach to the interpretation of medical and laboratory findings in suspected child sexual abuse: A 2005 revision. The APSAC Advisor 2005(Summer); 7
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  10. Kellogg ND, Parra JM. Linea vestibularis: A previously undescribed normal genital structure in female neonates. Pediatrics. 1991;87:926
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  17. Heger AH, Ticson L, Guerra L, et al. Appearance of the genitalia in girls selected for non-abuse: Review of hymenal morphology and non-specific findings. J Pediatr Adolesc Gynecol. 2002;15:27
  18. Berenson AB, Chacko MR, Wiemann CM, et al. A case-control study of anatomic changes resulting from sexual abuse. Am J Obstet Gynecol. 2000;182:820
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  22. Boos SC. Accidental hymenal injury mimicking sexual trauma. Pediatrics. 1999;103:1287
  23. Herrmann B, Crawford J. Genital injuries in prepubertal girls from inline skating accidents. Pediatrics. 2002;110:e16;Available: http://www.pediatrics.org/cgi/content/full/110/2/e16Accessed August 15, 2002
  24. Boos SC, Rosas AJ, Boyle C, et al. Anogenital injuries in child pedestrians run over by low-speed motor vehicles: four cases with findings that mimic child sexual abuse. Pediatrics. 2003;112:e77;Available: http://www.pediatrics.org/cgi/content/full/112/1/e77Accessed December 5, 2003
  25. Heppenstall-Heger A, McConnell G, Ticson L, et al. Healing patterns in anogenital injuries: A longitudinal study of injuries associated with sexual abuse, accidental injuries, or genital surgery in the preadolescent child. Pediatrics. 2003;112:829
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  28. Jones JS, Rossman L, Hartman M, et al. Anogenital injuries in adolescents after consensual sexual intercourse. Acad Emerg Med. 2003;10:1378
  29. Adams JA, Botash AS, Kellogg N. Differences in hymenal morphology between adolescent girls with and without a history of consensual sexual intercourse. Arch Pediatr Adolesc Med. 2004;158:280
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  36. Cason J, Mant CA. High-risk mucosal human papillomavirus infections during infancy and childhood. J Clin Virol. 2005;32S:S52
  37. Ramaswamy M, McDonald C, Smith M, et al. Diagnosis of genital herpes by real time PCR in routine clinical practice. Sex Transm Infect. 2004;80:406

PII: S1083-3188(06)00274-9

doi: 10.1016/j.jpag.2006.10.001

Journal of Pediatric and Adolescent Gynecology
Volume 20, Issue 3 , Pages 163-172 , June 2007

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