Apparent cyclic vaginal bleeding in a child: factitious disorder

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Ucakturk A., Gunindi F., Aydın H. M.

CLINICAL PEDIATRIC ENDOCRINOLOGY, cilt.26, sa.3, ss.189-192, 2017 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 3
  • Basım Tarihi: 2017
  • Doi Numarası: 10.1297/cpe.26.189
  • Dergi Adı: CLINICAL PEDIATRIC ENDOCRINOLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.189-192
  • Anahtar Kelimeler: prepubertal vaginal bleeding, factitious disorder, CENTRAL PRECOCIOUS PUBERTY, PREMATURE THELARCHE, MUNCHAUSEN-SYNDROME, INDUCED ILLNESS, HORMONE, ASSAYS, GIRLS, PROXY, OVARIAN, DECEIT
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

A 20-mo-old girl was brought to our department by her mother because of breast enlargement. She was diagnosed with premature thelarche. One month later, she returned to our hospital with a complaint of vaginal bleeding. During the subsequent 6 mo, her vaginal bleeding recurred every month while her breast development disappeared. We performed laboratory tests and imaging. At the end of 6 mo, we realized that her mother's menstrual bleeding and the patient's blood staining were concurrent. The mother confessed applying her vaginal flow to her daughter's underwear. Factitious disorder should be included in the differential diagnosis of unexplained vaginal bleeding in childhood.