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Images in paediatrics
A premenarcheal girl with urogenital bleeding
  1. Angela Lora1,
  2. Federica Scrimin2,
  3. Andrea Taddio1,2,
  4. Alessandro Ventura1,2,
  5. Egidio Barbi2
  1. 1University of Trieste, Trieste, Italy
  2. 2Institute for Maternal and Child Health-IRCCS “Burlo Garofolo”, Trieste, Italy
  1. Correspondence to Dr Angela Lora, University of Trieste, Via dell'Istria 65/1, Trieste 34137, Italy; angelalora86{at}gmail.com

http://dx.doi.org/10.1136/archdischild-2016-311730

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    An 8-year-old Caucasian girl was referred with perineal bleeding of sudden onset during micturition. There was no history of trauma, fever or dysuria, but she had a history of constipation. Family history was unremarkable. Physical examination showed a prepubertal girl with a red ‘doughnut’-shaped lesion surrounding the urethral meatus (figure 1). Laboratory findings, including platelet count and coagulation, were normal. A vaginoscopy, performed using sedation, was negative. Swabs tested negative for sexually transmitted pathogens. A diagnosis of urethral …

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    Footnotes

    • Contributors AL, FS, EB, AT and AV: Conception or design of the work, data collection, data analysis and interpretation. AL: Drafting the article. EB and AV: Critical revision of the article and final approval of the version to be published.

    • Competing interests None.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.