{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T06:32:56Z","timestamp":1715841176712},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The most common cause of genital lesions is herpes simplex virus (HSV) (<jats:italic toggle=\"yes\">Pediatr Dermatol.<\/jats:italic> 2012;29:147\u2013153). However, in children and adolescents who are not sexually active, several other causes need to be considered.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case<\/jats:title>\n            <jats:p>A 13-year-old adolescent girl presented to the emergency department with genital lesions. A gynecologist was consulted at time of presentation for concerns of a primary HSV infection and concurred. Final HSV and sexually transmitted infection testing were subsequently negative. At outpatient follow-up, a child abuse pediatrician made the diagnosis of aphthous genital ulcers (AGUs). Awareness of the diagnosis of AGUs is important because alternate diagnoses such as HSV could imply child abuse. It is critical to include AGUs in the differential diagnosis and to provide the appropriate referrals.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000000761","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T22:40:34Z","timestamp":1466721634000},"page":"e73-e74","source":"Crossref","is-referenced-by-count":5,"title":["Case Report"],"prefix":"10.1097","volume":"34","author":[{"given":"Andrea L.","family":"Austin","sequence":"first","affiliation":[{"name":"From the *Department of Emergency Medicine, Naval Medical Center San Diego; and\u2020Departments of Pediatrics and Pediatric Emergency Medicine Department, University of California, San Diego, San Diego, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia N.","family":"Magana","sequence":"additional","affiliation":[{"name":"From the *Department of Emergency Medicine, Naval Medical Center San Diego; and\u2020Departments of Pediatrics and Pediatric Emergency Medicine Department, University of California, San Diego, San Diego, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherri L.","family":"Rudinsky","sequence":"additional","affiliation":[{"name":"From the *Department of Emergency Medicine, Naval Medical Center San Diego; and\u2020Departments of Pediatrics and Pediatric Emergency Medicine Department, University of California, San Diego, San Diego, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven J.","family":"Portouw","sequence":"additional","affiliation":[{"name":"From the *Department of Emergency Medicine, Naval Medical Center San Diego; and\u2020Departments of Pediatrics and Pediatric Emergency Medicine Department, University of California, San Diego, San Diego, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20231023","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1111\/j.1525-1470.2011.01589.x","article-title":"Acute genital ulcers in nonsexually active young girls: case series, review of the literature, and evaluation and management recommendations","volume":"29","year":"2012","journal-title":"Pediatr Dermatol"},{"key":"bib2-20231023","first-page":"4","article-title":"Peer-review case","volume":"21","year":"2009","journal-title":"Scan"},{"key":"bib3-20231023","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1590\/S0365-05962012000400018","article-title":"Lipsch\u00fctz ulcer (ulcus vulvae acutum): a rare cause of genital lesion","volume":"87","year":"2012","journal-title":"An Bras Dermatol"},{"key":"bib4-20231023","doi-asserted-by":"crossref","first-page":"33","DOI":"10.2310\/7750.2009.08060","article-title":"Aphthous vulvar ulcers in adolescent girls: case report and review of the literature","volume":"14","year":"2010","journal-title":"J Cutan Med Surg"},{"key":"bib5-20231023","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1136\/adc.2005.086835","article-title":"Evidence for sexual transmission of genital herpes in children","volume":"92","year":"2007","journal-title":"Arch Dis Child"},{"key":"bib6-20231023","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1542\/peds.2005-1336","article-title":"The evaluation of sexual abuse in children","volume":"116","year":"2005","journal-title":"Pediatrics"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201804000-00019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T02:08:26Z","timestamp":1698026906000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201804000-00019"}},"subtitle":["Not All Genital Ulcers Are Herpetic"],"short-title":[],"issued":{"date-parts":[[2018,4]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000761","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2018,4]]}}}