Gynecological Dermatology in Pediatric Age: a Comprehensive Overview

Abstract

Pediatric gynecologic dermatology encompasses non-sexually transmitted vulvar and perineal dermatoses in children and adolescents, requiring age-spe-cific examination, diagnosis, and management approaches. This comprehen-sive review synthesizes epidemiology, clinical features, and evidence-based management of common conditions — nonspecific/irritant vulvovaginitis, vulvar lichen sclerosus, contact dermatitis, inflammatory and pigmentary dermatoses, infections, and anatomical variants — alongside critical but rare systemic diseases including hidradenitis suppurativa, Crohn’s disease, and Behçet disease. We emphasize diagnostic challenges, safeguarding conside-rations, psychosocial impact, and the importance of multidisciplinary care models. Key knowledge gaps include standardizing maintenance protocols for chronic conditions, reducing diagnostic delays, and improving recogni-tion across diverse skin tones.