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A cystic mass 4 Χ 3 cm was noted over the clitoris [Figure 1]a and b. Ultrasound revealed normal urinary tract and internal genitalia.
Clitoral enlargement, hypertrophy which may be congenital—e.g., congenital adrenal hyperplasia or Fraser syndrome—or acquired, due to dyshormonogenesis, affecting adults—e.g, polycystic ovarian syndrome, neurofibromatosis, clitoral cysts, use of anabolic steroids or testosterone supplements, female to male transsexuals; female bodybuilders who use androgens may also have clitoromegaly and increased libido, as may women who use testosterone therapeutically for low libido, to avert osteoporosis, as part of an anti-depressant regimen, etc.
We report a girl child presenting with clitoral enlargement due to an epidermoid cyst.
The cyst was excised with complete cosmetic recovery.
The daughter had anal stenosis, clitoromegaly, solitary pelvic kidney, 3-5 syndactyly on the left foot, and 2-5 syndactyly on the right foot. (2008) identified 4 unrelated girls with anogenital and renal malformations, dysmorphic facial features, normal intellect, and syndactyly of toes.