Abstract
Background
We present the case of an adolescent girl with prominent clitoral swelling as the
first symptom when she presented to the emergency department, and who was subsequently
diagnosed with nephrotic syndrome.
Case
A 14-year-old adolescent girl was admitted with painless clitoral swelling. She denied
recent masturbation, itching, or discharge. She was within the last few days of menstruation.
Physical examination revealed clitoral edema without erythema or genital edema. Urine
dipstick test and microscopic evaluation revealed protein 2+, blood 3+, abundant erythrocytes
and 9–10 leukocytes. A few days later, additional clinical findings, such as pretibial
and facial edema, were diagnosed as nephrotic syndrome.
Summary and Conclusion
This case is a reminder that clitoral swelling is to be considered a sign in the diagnosis
of nephrotic syndrome, even when it occurs alone.
Key Words
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References
- Does urinary tract infection cause proteinuria or microalbuminuria? A systematic review.Nephrol Dial Transplant. 2006; 21: 3031
- Hair thread tourniquet syndrome in adolescents: a presentation and review of the literature.J Pediatr Adolesc Gynecol. 2005; 18: 155
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- A case of unusual clitoromegaly.J Pediatr Adolesc Gynecol. 2018; 31: 543
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Article info
Publication history
Published online: February 08, 2019
Footnotes
The authors indicate no conflicts of interest.
Written permission was obtained from the patient and her family for publication of this report.
Identification
Copyright
© 2019 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
