Evaluation for bleeding disorders in suspected child abuse. Pediatrics 2013 Apr;131(4):e1314-22
Date
03/27/2013Pubmed ID
23530182DOI
10.1542/peds.2013-0195Scopus ID
2-s2.0-84876012467 (requires institutional sign-in at Scopus site) 82 CitationsAbstract
Bruising or bleeding in a child can raise the concern for child abuse. Assessing whether the findings are the result of trauma and/or whether the child has a bleeding disorder is critical. Many bleeding disorders are rare, and not every child with bruising/bleeding concerning for abuse requires an evaluation for bleeding disorders. In some instances, however, bleeding disorders can present in a manner similar to child abuse. The history and clinical evaluation can be used to determine the necessity of an evaluation for a possible bleeding disorder, and prevalence and known clinical presentations of individual bleeding disorders can be used to guide the extent of the laboratory testing. This clinical report provides guidance to pediatricians and other clinicians regarding the evaluation for bleeding disorders when child abuse is suspected.
Author List
Anderst JD, Carpenter SL, Abshire TC, Section on Hematology/Oncology and Committee on Child Abuse and Neglect of the American Academy of PediatricsMESH terms used to index this publication - Major topics in bold
Blood Coagulation DisordersBlood Coagulation Tests
Child
Child Abuse
Child, Preschool
Contusions
Decision Support Techniques
Diagnosis, Differential
Hemorrhage
Hemorrhagic Disorders
Humans
Infant
Infant, Newborn
Intracranial Hemorrhages
Vitamin K Deficiency Bleeding
