Teenage Girl With a Vaginal Mass

Vaginal mass in a 13-year-old girl.

A 13-year-old girl, otherwise healthy, presented with complaints of a painless vaginal mass associated with intermittent abnormal vaginal bleeding and discharge over a few weeks. External examination of genitalia was unremarkable and pubertal development was appropriate for her age. No obvious abnormality was detected on rectoabdominal examination. No transvaginal examination was attempted in v...

A Teenage Girl With Painful Walking and a Left Foot Mass

A 12-year-old African American girl presented with a 1-year history of swelling and intermittent pain in her left foot. The swelling and pain had worsened over the past 3 weeks. She reported that prolonged walking increased the pain and swelling, while laying down lead to some improvement. The patient and her mother denied trauma to the left foot. There was no history of fever, nausea, vomiting...

A Huge Gastric Trichobezoar in a Teenage Girl

A 13-year-old girl presented with a history of not being well during the past six months. The ultrasound examination showed an epigastric mass, which was diagnosed as a bezoar within the stomach in upper gastrointestinal endoscopy. The patient was managed by operative evacuation. It was interesting that such a large bezoar did not cause any significant obstruction for the patient.

Malignant syphilis in a teenage girl.

Follicular mucinosis in a teenage girl.

Follicular mucinosis is characterized by mucin deposits within the hair follicles and sebaceous glands. It can occur as a primary idiopathic benign disorder; it can be found as an incidental phenomenom in rare cases of different dermatoses; or it can arise as a secondary symptom of a malignant disorder, most commonly mycosis fungoides. Youth and localization in a single area used to be regarded...