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...

Full description

Bibliographic Details
Main Authors: Amal Nishantha Vadysinghe, Chatula Usari Wickramashinghe, Dineshi Nadira Nanayakkara, Chandishni Ishara Kaluarachchi
Format: Article
Language:English
Published: University of São Paulo 2018-03-01
Series:Autopsy and Case Reports
Subjects:
Online Access:http://www.revistas.usp.br/autopsy/article/view/147152
_version_ 1819105821023272960
author Amal Nishantha Vadysinghe
Chatula Usari Wickramashinghe
Dineshi Nadira Nanayakkara
Chandishni Ishara Kaluarachchi
author_facet Amal Nishantha Vadysinghe
Chatula Usari Wickramashinghe
Dineshi Nadira Nanayakkara
Chandishni Ishara Kaluarachchi
author_sort Amal Nishantha Vadysinghe
collection DOAJ
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.
first_indexed 2024-12-22T02:28:20Z
format Article
id doaj.art-2581b022d8964907b0bf098e2602bfc5
institution Directory Open Access Journal
issn 2236-1960
language English
last_indexed 2024-12-22T02:28:20Z
publishDate 2018-03-01
publisher University of São Paulo
record_format Article
series Autopsy and Case Reports
spelling doaj.art-2581b022d8964907b0bf098e2602bfc52022-12-21T18:41:57ZengUniversity of São PauloAutopsy and Case Reports2236-19602018-03-018110.4322/acr.2018.008Suspicious scars: physical child abuse vs Ehlers-Danlos syndromeAmal Nishantha Vadysinghe0Chatula Usari Wickramashinghe1Dineshi Nadira Nanayakkara2Chandishni Ishara Kaluarachchi3University of Peradeniya, Faculty of Medicine, Department of Forensic MedicineUniversity of Peradeniya, Faculty of Medicine, Department of Forensic Medicineb District General Hospital, Intensive Care Unit. NawalapitiyaNational Cancer Institute, Department of OncosurgeryChild 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.http://www.revistas.usp.br/autopsy/article/view/147152Child MaltreatmentChild NeglectEhlers Danlos Disease
spellingShingle Amal Nishantha Vadysinghe
Chatula Usari Wickramashinghe
Dineshi Nadira Nanayakkara
Chandishni Ishara Kaluarachchi
Suspicious scars: physical child abuse vs Ehlers-Danlos syndrome
Autopsy and Case Reports
Child Maltreatment
Child Neglect
Ehlers Danlos Disease
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 Child Maltreatment
Child Neglect
Ehlers Danlos Disease
url http://www.revistas.usp.br/autopsy/article/view/147152
work_keys_str_mv AT amalnishanthavadysinghe suspiciousscarsphysicalchildabusevsehlersdanlossyndrome
AT chatulausariwickramashinghe suspiciousscarsphysicalchildabusevsehlersdanlossyndrome
AT dineshinadirananayakkara suspiciousscarsphysicalchildabusevsehlersdanlossyndrome
AT chandishniisharakaluarachchi suspiciousscarsphysicalchildabusevsehlersdanlossyndrome