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Severe vulvovaginitis as a presenting problem of type 2 diabetes in adolescent girls: a case series
Jacqueline Curran1, Jenette Hayward, Elizabeth Sellers
1Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada. jacqueline.curran@health.wa.gov.au
Abstract:
This article describes the presentation of 4 adolescent girls who sought medical attention for severe vulvovaginitis and were subsequently found to have type 2 diabetes. Symptomatic vulvovaginitis is rare in adolescent girls, and its presence should alert health care providers to test for underlying hyperglycemia. These 4 girls represent 8.5% of the females with new-onset type 2 diabetes during a 3-year period (2007-2009). The 4 cases fulfilled the current Canadian Diabetes Association screening criteria for type 2 diabetes in youth, yet none of these girls had been screened. These cases highlight the need for better awareness of screening criteria for type 2 diabetes in adolescents. Consideration should be given in clinical practice guidelines to including the presence of unusual or severe infections as a risk factor for type 2 diabetes in youth.
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