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Non-accidental Injury (non-accidental + injury)
Selected AbstractsBruising: When it is spontaneous and not idiopathic thrombocytopenia purpuraJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 4 2007Amanda L Davey Abstract: Bruising is a presentation that often causes concern. There are many causes of bruising in children, including non-accidental injury, which must be excluded. We report a case of a 22-month-old boy where all the common diagnoses were excluded. We highlight the need to be aware of transient acquired inhibitors of coagulation that can cause spontaneous bleeding. [source] Bone disorders that cause fractures and mimic non-accidental injuryACTA PAEDIATRICA, Issue 9 2010Colin R Paterson No abstract is available for this article. [source] Vitamin D deficiency rickets and allegations of non-accidental injuryACTA PAEDIATRICA, Issue 4 2010KW Feldman No abstract is available for this article. [source] Temporary brittle bone disease: fractures in medical careACTA PAEDIATRICA, Issue 12 2009Colin R Paterson Abstract Temporary brittle bone disease is the name given to a syndrome first reported in 1990, in which fractures occur in infants in the first year of life. The fractures include rib fractures and metaphyseal fractures which are mostly asymptomatic. The radiological features of this disorder mimic those often ascribed to typical non-accidental injury. The subject has been controversial, some authors suggesting that the disorder does not exist. This study reports five infants with typical features of temporary brittle bone disease in whom all or most of the fractures took place while in hospital. A non-accidental cause can be eliminated with some confidence, and these cases provide evidence in support of the existence of temporary brittle bone disease. [source] Vitamin D deficiency rickets and allegations of non-accidental injuryACTA PAEDIATRICA, Issue 12 2009Colin R Paterson Abstract Vitamin D deficiency rickets has long been recognized as a cause of fractures and fracture-like appearances in young children. Often seen in the early 20th century, rickets has recently been regarded as uncommon; the radiological appearances, familiar to previous generations, may not be recognized for what they are. This article reports four children with unexplained fractures initially attributed confidently to non-accidental injury. In each case, the later evidence of vitamin D deficiency led to a reconsideration of that diagnosis. Conclusion:, It is important to be aware of this bone disorder in the differential diagnosis of fractures, to investigate appropriately and to recognize that the radiological appearances may be misleading. A mistaken diagnosis of abuse does real harm, not least to the child itself. [source] | ||||||||||