Child with multiple ecchymoses … is it abuse?

  • Sara Pimentel Marcos Pediatric Service of Hospital de São Francisco Xavier, Centro Hospitalar de Lisboa Ocidental
  • Margarida Valério Pediatric Service of Hospital de São Francisco Xavier, Centro Hospitalar de Lisboa Ocidental
  • Maria Manuel Vilhena Pediatric Service of Hospital de São Francisco Xavier, Centro Hospitalar de Lisboa Ocidental
Keywords: Child abuse, bleeding disorder, ecchymoses, von Willebrand disease

Abstract

Case report: Child abuse is a public health problem; bleeding disorders can mimic some of these situations. We alert to this problem reporting a case of suspected child abuse in a toddler with multiple ecchymoses. The history and clinical evaluation, including coagulation tests, achieved the diagnosis of severe type I von Willebrand disease failing to prove social dysfunction.

Comments: Physical abuse suspicion in children with bruising symptoms should raise the concern of a potentialbleeding disorder. Laboratory tests should be done on the basis of patient and family history, physical examination and prevalence of bleeding conditions. Nonetheless, laboratory testing indicating the presence of a bleeding disorder does not exclude concomitant child abuse and social monitoring and vigilance should be maintained.

References

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Published
2016-02-22
How to Cite
Marcos, S. P., Valério, M., & Vilhena, M. M. (2016). Child with multiple ecchymoses … is it abuse?. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 24(1), 37-40. https://doi.org/10.25753/BirthGrowthMJ.v24.i1.8577
Section
Case Reports