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Suspicious scars: physical child abuse vs Ehlers-Danlos syndrome

Child abuse is a sensitive topic among many medical practitioners and the diagnosis of this entity requires awareness about conditions which can mimic physical child abuse. Here, the authors present a case of a 13-year-old school non-attendee who was referred due to multiple scars, over areas prone...

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Autores principales: Vadysinghe, Amal Nishantha, Wickramashinghe, Chatula Usari, Nanayakkara, Dineshi Nadira, Kaluarachchi, Chandishni Ishara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: São Paulo, SP: Universidade de São Paulo, Hospital Universitário 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828290/
https://www.ncbi.nlm.nih.gov/pubmed/29515983
http://dx.doi.org/10.4322/acr.2018.008
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author Vadysinghe, Amal Nishantha
Wickramashinghe, Chatula Usari
Nanayakkara, Dineshi Nadira
Kaluarachchi, Chandishni Ishara
author_facet Vadysinghe, Amal Nishantha
Wickramashinghe, Chatula Usari
Nanayakkara, Dineshi Nadira
Kaluarachchi, Chandishni Ishara
author_sort Vadysinghe, Amal Nishantha
collection PubMed
description Child abuse is a sensitive topic among many medical practitioners and the diagnosis of this entity requires awareness about conditions which can mimic physical child abuse. Here, the authors present a case of a 13-year-old school non-attendee who was referred due to multiple scars, over areas prone to accidental as well as non-accidental injury, who underwent medicolegal examination due to suspicion of physical child abuse. On further inquiry, it was discovered that she had easy bruising and poor wound healing. A diagnosis of Ehlers-Danlos syndrome was established and physical child abuse was excluded. This case emphasizes the importance of identifying conditions which may confound the diagnosis of physical child abuse. This is of utmost importance in avoiding adverse legal and psycho-social implications on the child, family and society.
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spelling pubmed-58282902018-03-07 Suspicious scars: physical child abuse vs Ehlers-Danlos syndrome Vadysinghe, Amal Nishantha Wickramashinghe, Chatula Usari Nanayakkara, Dineshi Nadira Kaluarachchi, Chandishni Ishara Autops Case Rep Article / Clinical Case Report Child abuse is a sensitive topic among many medical practitioners and the diagnosis of this entity requires awareness about conditions which can mimic physical child abuse. Here, the authors present a case of a 13-year-old school non-attendee who was referred due to multiple scars, over areas prone to accidental as well as non-accidental injury, who underwent medicolegal examination due to suspicion of physical child abuse. On further inquiry, it was discovered that she had easy bruising and poor wound healing. A diagnosis of Ehlers-Danlos syndrome was established and physical child abuse was excluded. This case emphasizes the importance of identifying conditions which may confound the diagnosis of physical child abuse. This is of utmost importance in avoiding adverse legal and psycho-social implications on the child, family and society. São Paulo, SP: Universidade de São Paulo, Hospital Universitário 2018-02-27 /pmc/articles/PMC5828290/ /pubmed/29515983 http://dx.doi.org/10.4322/acr.2018.008 Text en Autopsy and Case Reports. ISSN 2236-1960. Copyright © 2018. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided the article is properly cited.
spellingShingle Article / Clinical Case Report
Vadysinghe, Amal Nishantha
Wickramashinghe, Chatula Usari
Nanayakkara, Dineshi Nadira
Kaluarachchi, Chandishni Ishara
Suspicious scars: physical child abuse vs Ehlers-Danlos syndrome
title Suspicious scars: physical child abuse vs Ehlers-Danlos syndrome
title_full Suspicious scars: physical child abuse vs Ehlers-Danlos syndrome
title_fullStr Suspicious scars: physical child abuse vs Ehlers-Danlos syndrome
title_full_unstemmed Suspicious scars: physical child abuse vs Ehlers-Danlos syndrome
title_short Suspicious scars: physical child abuse vs Ehlers-Danlos syndrome
title_sort suspicious scars: physical child abuse vs ehlers-danlos syndrome
topic Article / Clinical Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828290/
https://www.ncbi.nlm.nih.gov/pubmed/29515983
http://dx.doi.org/10.4322/acr.2018.008
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