@article{Marcos_Valério_Vilhena_2016, place={Porto, Portugal}, title={Child with multiple ecchymoses … is it abuse?}, volume={24}, url={https://revistas.rcaap.pt/nascercrescer/article/view/8577}, DOI={10.25753/BirthGrowthMJ.v24.i1.8577}, abstractNote={<p><strong>Case report:</strong> 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.</p><p><strong>Comments:</strong> 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.</p>}, number={1}, journal={NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL}, author={Marcos, Sara Pimentel and Valério, Margarida and Vilhena, Maria Manuel}, year={2016}, month={Feb.}, pages={37–40} }