{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T22:36:47Z","timestamp":1775687807369,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,10,11]],"date-time":"2013-10-11T00:00:00Z","timestamp":1381449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Group A beta\u2010hemolytic streptococcus cause most vulvovaginal infections seen in prepubertal girls. Bacterial vaginosis is a common cause of abnormal vaginal discharge in women of childbearing age but is rare in children. Data are insufficient to suggest that bacterial vaginosis is an exclusively sexually transmitted disease. We report a 10\u2010year\u2010old girl with no history or suspicion of sexual abuse who developed bacterial vaginosis in the context of a lichen sclerosus being treated with tacrolimus ointment. Secondary bacterial infection in lichen sclerosus is uncommon. We speculate that the immunosuppressive effect of topical tacrolimus could have triggered the infection.<\/jats:p>","DOI":"10.1111\/pde.12227","type":"journal-article","created":{"date-parts":[[2013,10,14]],"date-time":"2013-10-14T11:43:33Z","timestamp":1381751013000},"page":"95-98","source":"Crossref","is-referenced-by-count":10,"title":["Bacterial Vaginosis in the Context of Lichen Sclerosus in a Prepubertal Girl"],"prefix":"10.1111","volume":"31","author":[{"given":"Marta","family":"Feito\u2010Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Department of Dermatology Hospital Universitario La Paz Universidad Aut\u00f3noma de Madrid Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucero","family":"Noguera\u2010Morel","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital Universitario La Paz Universidad Aut\u00f3noma de Madrid Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Casas\u2010Rivero","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Hospital Universitario La Paz Universidad Aut\u00f3noma de Madrid Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Garc\u00eda\u2010Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Microbiology Hospital Universitario La Paz Universidad Aut\u00f3noma de Madrid Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raul","family":"de Lucas\u2010Laguna","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital Universitario La Paz Universidad Aut\u00f3noma de Madrid Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,11]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-012-1705-9"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-003-1373-x"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1470.2000.01701.x"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e3181e09621"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0145-2134(95)00082-J"},{"key":"e_1_2_4_7_1","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1542\/peds.103.1.186","article-title":"Guidelines for the evaluation of sexual abuse of children: subject review. 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