Vulvovaginitis in the premenarcheal child.

Fifty premenarcheal children with vulvovaginitis and 21 control subjects underwent a series of diagnostic studies, including vaginal smear; bacterial, fungal, and viral cultures of the vagina, rectum, and urine; vaginal cytology; and urinalysis. Employing these tools and a careful history and physical examination, it was possible to elicit a probable specific cause in the majority of the patients.