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Unexplained facial scar: child abuse or ehlers-danlos syndrome?

Abtahi-Naeini B, Shapouri J, Masjedi M, Saffaei A, Pourazizi M - N Am J Med Sci (2014)

Bottom Line: These conditions can include genetic, congenital and other disorders that may result in poor weight gain, bone fractures or skin lesions that look like bruises or burns.This paper reports the case of a seven-year-old girl with Ehlers-Danlos Syndrome (EDS), which was misdiagnosed as child abuse.This child was referred to us for treatment of an unexplained facial scar that was alleged to be the result of child abuse.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Medicine Students' Research Committee, Skin Diseases and Leishmaniasis Research Center, Isfahan, Iran.

ABSTRACT

Context: Child abuse is a serious problem, and its physical manifestations can be mimicked by certain diseases and conditions. These conditions can include genetic, congenital and other disorders that may result in poor weight gain, bone fractures or skin lesions that look like bruises or burns.

Case report: This paper reports the case of a seven-year-old girl with Ehlers-Danlos Syndrome (EDS), which was misdiagnosed as child abuse. This child was referred to us for treatment of an unexplained facial scar that was alleged to be the result of child abuse.

Conclusion: When unusual skin presentations are observed, dermatologists should consider the possibility of child abuse to protect the child. Furthermore, they should be aware of the cutaneous abnormalities that mimic injuries associated with abuse to avoid the unnecessary reporting of child abuse.

No MeSH data available.


Related in: MedlinePlus

Easy bruising, characteristic brownish discoloration of the skin, especially in exposed areas, such as the shins
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Figure 3: Easy bruising, characteristic brownish discoloration of the skin, especially in exposed areas, such as the shins

Mentions: Dermatologic examinations revealed that the child had very smooth, lax skin, but she had wide, atrophic, cigarette paper-like scars on both shins. Other clinical findings included hyperextensible skin [Figure 2], increased range of motion of the joints, long fingers, toes that bruised easily and fragile skin that had a brownish discoloration [Figure 3]. There were hyper mobile joints with the score of 6/9 on the Beighton scale.


Unexplained facial scar: child abuse or ehlers-danlos syndrome?

Abtahi-Naeini B, Shapouri J, Masjedi M, Saffaei A, Pourazizi M - N Am J Med Sci (2014)

Easy bruising, characteristic brownish discoloration of the skin, especially in exposed areas, such as the shins
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4264297&req=5

Figure 3: Easy bruising, characteristic brownish discoloration of the skin, especially in exposed areas, such as the shins
Mentions: Dermatologic examinations revealed that the child had very smooth, lax skin, but she had wide, atrophic, cigarette paper-like scars on both shins. Other clinical findings included hyperextensible skin [Figure 2], increased range of motion of the joints, long fingers, toes that bruised easily and fragile skin that had a brownish discoloration [Figure 3]. There were hyper mobile joints with the score of 6/9 on the Beighton scale.

Bottom Line: These conditions can include genetic, congenital and other disorders that may result in poor weight gain, bone fractures or skin lesions that look like bruises or burns.This paper reports the case of a seven-year-old girl with Ehlers-Danlos Syndrome (EDS), which was misdiagnosed as child abuse.This child was referred to us for treatment of an unexplained facial scar that was alleged to be the result of child abuse.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Medicine Students' Research Committee, Skin Diseases and Leishmaniasis Research Center, Isfahan, Iran.

ABSTRACT

Context: Child abuse is a serious problem, and its physical manifestations can be mimicked by certain diseases and conditions. These conditions can include genetic, congenital and other disorders that may result in poor weight gain, bone fractures or skin lesions that look like bruises or burns.

Case report: This paper reports the case of a seven-year-old girl with Ehlers-Danlos Syndrome (EDS), which was misdiagnosed as child abuse. This child was referred to us for treatment of an unexplained facial scar that was alleged to be the result of child abuse.

Conclusion: When unusual skin presentations are observed, dermatologists should consider the possibility of child abuse to protect the child. Furthermore, they should be aware of the cutaneous abnormalities that mimic injuries associated with abuse to avoid the unnecessary reporting of child abuse.

No MeSH data available.


Related in: MedlinePlus