Emotional Crossed Leg Rubbing Syndrome in Children

Brief introduction of children's emotional cross-shoulder syndrome Emotional crossbred syndrome (masturbationsyndrome) is a syndrome with unknown etiology and unresolved treatment. More common in children. Refers to the child's repeated rubbing of the external genitalia by hand or other objects, also known as masturbation. Almost all children may have such behaviors as light or heavy during their growth and development. Infants of half a year old can appear, but more often after 2 years of age, most of them are more obvious from early childhood to preschool age. Most disappeared and increased significantly after puberty. More boys than girls. basic knowledge The proportion of illness: 0.002% - 0.003% Susceptible people: children Mode of infection: non-infectious Complications: anxiety

Pediatric emotional cross leg scrub syndrome

Local stimulation (30%):

The etiology of this disease has not yet been clarified. Local irritation, such as inflammation of the genital area, eczema, excessive foreskin, phimosis, and aphid infection often cause local itching. It is a common cause of children's frictional genital behavior, and then develops on this basis. In the habit of action, some children play genitals because of loneliness, common in boys, bad environment, emotional stress, anxiety, etc. can often exacerbate this behavior, children as a means of relieving emotional anxiety and masturbation.

Traditional views include (30%):

1 bad habits.

2 vulvitis caused by tsutsugamushi disease.

3 precocious puberty, those who have different views on these traditional views have been overthrown one by one, some children have an onset age of less than 2 months, so it is impossible to form a habit, drug treatment is effective, and the drug can be relapsed, enough to confirm that it is not "Habit", anti-inflammatory treatment for children with vulvar congestion is not effective, there is no improvement in the symptoms of deworming treatment of aphids, suggesting that vulvar congestion is the result of cross-braking legs instead of vulvar inflammation, the case of serious clinical symptoms The blood test promotes follicle stimulating hormone and progesterone hormone, the results are normal, and the level of passion in the vaginal deep film is normal, so the child has no sexual precocity.

Theory of neuromedic disorders (30%):

The basis of the theory of neuromedic disorder is that the urinary amino acid analysis of children has an increase of 82%. After the symptoms disappear, 70% of them return to normal, suggesting that the symptoms may be related to amino acid metabolism. In addition, the ferritin test results of children have 75. % is lower than normal, indicating that storage iron is deficient, and the reduction of stored iron can lead to catecholamine metabolism disorder. Monoamine oxidase is a key enzyme and iron-dependent enzyme in catecholamine catabolism. Therefore, children need sufficient iron to activate monoamine oxidase. In order to maintain the normal function of catecholamines.

The results of the current study may be related to neuromedity disorders, which may be caused by choline system metabolic disorders, which in turn causes dopamine hyperfunction.

Pediatric emotional cross leg syndrome prevention

The cause is still unknown and there are no precise preventive measures.

For accidental episodes, parents should adopt a neglected attitude and distract their attention to correct. At the same time actively seek and remove local stimuli. Parents are advised to wear loose underwear and not to wear tight underwear. In the evening, try to get tired when you feel tired and go to bed. When you wake up in the morning, wake up and wake up, reduce the time when the child wakes up and stay alone in bed, and develop a good sleep habit of going to bed and sleeping.

When you find that your baby's legs are crossed, you can gently separate your legs and use your toy or other means to divert your attention. Don't shout loudly, so that infants and children misunderstand this behavior can attract the attention of parents. Get inappropriate reinforcement. For older children who frequently rub the external genitalia by hand, positive reinforcement can be used. It is mainly for children to understand the harm of such behavior, but do not intimidate children, so as not to increase their emotional anxiety and fear. Actively strengthen its good behavior and increase its ability to control itself.

Pediatric emotional cross leg syndrome complications Complications

Pediatric emotional cross-shoulder syndrome generally has no special complications. The etiology of this disease has not yet been clarified. Local irritation, such as inflammation of the genital area, eczema, excessive foreskin, phimosis, and aphid infection, often cause local itching. It is a common cause of children's frictional genital behavior, and then develops on the basis of Habitual action. There are also children who play genitals because of loneliness, which is common in boys. Adverse environments, emotional stress, anxiety, etc. can often exacerbate this behavior, and children use this as a means of relieving emotional anxiety and masturbation.

Pediatric emotional cross rubbing syndrome symptoms common symptoms nervous cross leg asthma complexion flushing congestion vulva swollen edema

Both men and women have morbidity. Domestic Ye Qifen reported that 93 out of 109 girls accounted for more than 85% of the whole group. This disease is often presented with paroxysmal lower extremity straight or cross-clamped with leg-lifting action, hand fist or catch something hard, girl I like to sit on a hard object, press the leg or lower abdomen or like to clip between the legs. The boy is more likely to be on the bed, the penis is erect, the girl's vulva is congested, the secretion is increased and the pigmentation of the labia is aggravated. The urethra is slightly congested and light. Degree of edema, conscious when attacking, can suddenly stop the episode due to external factors.

When children perform these behaviors, they usually have red cheeks, nervous expressions, gaze at their eyes, sweating slightly, and even panting. After the child is sleepy and sleepy, if forced to stop, it will cause dissatisfaction and even opposition to young children. Seizures can be made regardless of location, while older children are more likely to have an episode before going to sleep or wake up in the morning. This can be accompanied by orgasm, sexual fantasies, and normal intelligence.

Examination of children's emotional cross-shoulder syndrome

Children's emotional cross-shoulder syndrome examination items: serum iron, serum ferritin, amino acid examination, blood routine, EEG, six sex hormone tests.

Serum follicle stimulating hormone, progesterone-promoting hormone normal, vaginal passionate level is normal, urinary amino acid chromatography is 82% higher, serum ferritin is lower than normal 2 standard deviation.

EEG, B-ultrasound was normal.

Diagnosis and differential diagnosis of children's emotional cross-shoulder syndrome

diagnosis

The diagnostic criteria for this symptom are:

1 intelligence is normal, conscious when attacking

2 When the attack occurs, the lower extremities are straight and cross or clamped, and the fist is clenched or grasped.

3 vulvar congestion, increased secretions and/or increased pigmentation of the labia, penile erection during a boy's attack

4 episodes can be stopped due to external factors

5 EEG is normal

Differential diagnosis

Before diagnosing a habitual cross rubbing leg, care must be taken to distinguish it from temporal lobe epilepsy or frustrated epilepsy.

1. Epilepsy is commonly known as "sheep epilepsy", "shofar wind", "lamb mad" or "sexual epilepsy", which is caused by a variety of causes of paroxysmal abnormal discharge of brain neuron group, feeling, A disease of consciousness, spirit, and autonomic dysfunction. As early as 2,200 years ago, the "Yellow Emperor's Internal Classic" was recorded. I believe that people will not be familiar with this disease, and they are often referred to as exhaustion by people.

2. The hook-back episode caused by the basal epilepsy in the anterior temporal lobe is called temporal lobe epilepsy and is the representative of localized epilepsy. Temporal lobe epilepsy is characterized by a simple partial seizure, usually a partial seizure and a secondary systemic episode or a mixture of these episodes. A history of fever and family history is common, and memory defects may occur. In metabolic imaging studies (eg, PET), low-area metabolism is often observed, with unilateral or bilateral temporal lobe spikes often present on EEG.

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