Abstract
A white girl, 9 years and 10 months old, was brought to me at the Kinderhospital, Osnabrück, by her mother who had noticed bruises of variable shapes and sizes on her daughter's vulva over the previous 4 months. Ointments had not improved the situation. On examination, there was a sharply delineated, 10·30 mm blue-reddish area on the right labium major, extending to the introitus and looking very much like a bruise (figure). The rest of the introitus was normal; the hymen was intact. There were four pubic hairs, but no other signs of puberty.
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