Crossed legs

Introduction Child rubbing syndrome (emotional cross-leg syndrome), known locally as masturbation, is a behavioral disorder that causes children to excite by rubbing their legs. It is a kind of abnormal psychological behavior. It is not uncommon among children, and girls and children are more common. 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. Become a 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.

Cause

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. Become a 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.

Pathogenesis

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

Specifically, there are two types of doctrines, one is called the traditional view; the other is the theory of neuromedic disorder.

Traditional views include:

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 they can't talk about the formation habits, the drug treatment is effective, and the drug can be relapsed, which is enough to prove that it is not "habit." Anti-inflammatory treatment is not effective for children with vulvar congestion, and there is no improvement in the symptoms of deworming treatment for aphids. It is suggested that vulvar congestion is the result of cross-braking rather than vulvar inflammation. Blood follicle stimulating hormone and progesterone hormone were measured in cases with more serious clinical symptoms, and the results were normal. The level of passion in the vaginal deep film is also normal, so the child has no sexual precocity.

The basis of the neuromedity disorder theory 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 are 75% lower than normal, indicating that the storage of iron is lacking, and the reduction of stored iron can lead to disorder of catecholamine metabolism. Monoamine oxidase is a key enzyme in the catabolism of catecholamines and is also an iron-dependent enzyme. Therefore, children need sufficient iron to activate monoamine oxidase in order to maintain the normal function of catecholamines.

an examination

Related inspection

Brain CT examination

Serum follicle stimulating hormone and progesterone-promoting hormone are normal; vaginal passionate levels are normal; urinary amino acid chromatography is 82% higher; serum ferritin is lower than normal by 2 standard deviations. EEG and B-ultrasound were normal. Electromyography: manifested as denervation and slowing of motor-induced sensory nerve conduction.

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

Differential diagnosis

Before diagnosing a habitual cross rubbing leg, care must be taken to distinguish it from temporal lobe epilepsy or frustrated epilepsy. Serum follicle stimulating hormone and progesterone-promoting hormone are normal; vaginal passionate levels are normal; urinary amino acid chromatography is 82% higher; serum ferritin is lower than normal by 2 standard deviations. EEG and B-ultrasound were normal. Electromyography: manifested as denervation and slowing of motor-induced sensory nerve conduction.

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