| Challenges in the evaluation for possible abuse: presentations of congenital bleeding disorders in childhood. |
| Summary: US study looking at the difficulties of differentiating between children with congenital blood disorders and those who have been injured as a result of abuse. Based on a ten year retrospective review of patients at the Hemophilia Treatment Center. Found that 29 of the 189 children in the study had symptoms/injuries that looked like a non accidental injury. Concludes that children with bleeding disorders may present with bruising/bleeding that is clinically highly suggestive of non accidental trauma. Recommends that infants and young children who have non-patterned bruising or bleeding as the only symptom concerning for abuse require an evaluation that includes testing for haemophilia and von Willebrand disease (vWD). |
| Publication details: Child Abuse and Neglect Volume 36 Issue 2, 2012 pp 127-134 |
| Authors: Jackson, Jami, and Carpenter, Shannon, and Anderst, Jim |
| Corporate authors: |
