Nocturnal faecal soiling and anal masturbation
Article Abstract:
Fecal soiling refers to a disorder of bowel function and control, and occurs in children at a certain age period without associated physical defect or disease. The prognosis of fecal soiling is good, with remission developing before adulthood. One study showed that the incidence of fecal soiling started to decrease after age six years in boys and eight years in girls, and complete remission occurred by age 16 years with only two cases of relapses. Adulthood encopresis, a condition characterized by constipation and fecal retention, is thought to be a feature of either psychotic disorder or severe mental handicap. Two cases of encopresis persisting into adulthood were reported and associated with neurosis, a nervous or anxiety disorder. Two cases are described of late onset fecal soiling which persisted into adolescence without accompanying psychosis or mental handicap. However, both cases were associated with anal masturbation. There are few reports of anal masturbation associated with fecal soiling, a condition that may be difficult to treat. In both cases, anal masturbation was initiated because of constipation, but later became a source of sexual stimulation. Both boys were from families in which the parents were having difficulties in coming to terms with adolescent separation and maturation. The fecal soiling is thought to be a part of this psychological problem. Fecal soiling associated with anal masturbation may be more common than expected and such patients and their families should be referred for psychiatric assessment. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Archives of Disease in Childhood
Subject: Health
ISSN: 0003-9888
Year: 1990
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Trichophyton verrucosum Tinea Corporis
Article Abstract:
A nine-year-old boy with tender red plaques on his back, neck, and chest illustrates a typical case of tinea corporis. This fungal infection often produces red patches with scaly edges, identifiable as mycoses with the potassium hydroxide test. Steroid preparations reduce the rash, but they can compromise the diagnosis and delay resolution of the infection. Topical antifungals are usually effective. Oral antifungals may be appropriate in extensive cases.
Publication Name: Archives of Pediatrics & Adolescent Medicine
Subject: Health
ISSN: 1072-4710
Year: 1999
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