PEDIATRICS Vol. 92 No. 3 September 1993, pp. 453-456
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Linea Vestibularis: Follow-up of a Normal Genital Structure

NANCY D. KELLOGG MD1 and JUAN M. PARRA MD, MPH1

1 Dept of Pediatrics, University of Texas Health Science Center, San Antonio

Keen observation and precise documentation have become increasingly important in the physical evaluation of a child who may have been sexually abused. The task of proper interpretation of these

[See table in the PDF file]

physical findings depends on the recognition of normal anatomy.

Much work has been done to differentiate normal anatomic variants from physical changes resulting from injury.1-7 In a recent study, healthy female newborns were examined to establish the presence of a white midline streak in the posterior vestibule.8 In the initial phase of this study, 123 newborns were examined. A white linear structure in the mid-posterior vestibule, termed linea vestibularis (LV), was found in 10% (n = 13) of the group and a white spot in the mid-posterior vestibule, termed partial linea vestibularis (PLV), was found in 14% (n = 17) of the group.

Submitted on December 15, 1992
Accepted on March 23, 1993