Evaluation for bleeding disorders in suspected child abuse

James D. Anderst, Shannon L. Carpenter, Thomas C. Abshire, Jeffrey Hord, Gary Crouch, Gregory Hale, Brigitta Mueller, Zora Rogers, Patricia Shearer, Eric Werner, Cindy W. Christian, James Crawford-Jakubiak, Emalee Flaherty, John M. Leventhal, James L Lukefahr, Robert Sege

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
JournalPediatrics
Volume131
Issue number4
DOIs
StatePublished - Apr 2013
Externally publishedYes

Fingerprint

Child Abuse
Hemorrhage
Evaluation
History
Wounds and Injuries

Keywords

  • Bruising
  • Inherited coagulation disorders
  • Intracranial hemorrhage
  • Nonaccidental trauma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Anderst, J. D., Carpenter, S. L., Abshire, T. C., Hord, J., Crouch, G., Hale, G., ... Sege, R. (2013). Evaluation for bleeding disorders in suspected child abuse. Pediatrics, 131(4). https://doi.org/10.1542/peds.2013-0195

Evaluation for bleeding disorders in suspected child abuse. / Anderst, James D.; Carpenter, Shannon L.; Abshire, Thomas C.; Hord, Jeffrey; Crouch, Gary; Hale, Gregory; Mueller, Brigitta; Rogers, Zora; Shearer, Patricia; Werner, Eric; Christian, Cindy W.; Crawford-Jakubiak, James; Flaherty, Emalee; Leventhal, John M.; Lukefahr, James L; Sege, Robert.

In: Pediatrics, Vol. 131, No. 4, 04.2013.

Research output: Contribution to journalArticle

Anderst, JD, Carpenter, SL, Abshire, TC, Hord, J, Crouch, G, Hale, G, Mueller, B, Rogers, Z, Shearer, P, Werner, E, Christian, CW, Crawford-Jakubiak, J, Flaherty, E, Leventhal, JM, Lukefahr, JL & Sege, R 2013, 'Evaluation for bleeding disorders in suspected child abuse', Pediatrics, vol. 131, no. 4. https://doi.org/10.1542/peds.2013-0195
Anderst JD, Carpenter SL, Abshire TC, Hord J, Crouch G, Hale G et al. Evaluation for bleeding disorders in suspected child abuse. Pediatrics. 2013 Apr;131(4). https://doi.org/10.1542/peds.2013-0195
Anderst, James D. ; Carpenter, Shannon L. ; Abshire, Thomas C. ; Hord, Jeffrey ; Crouch, Gary ; Hale, Gregory ; Mueller, Brigitta ; Rogers, Zora ; Shearer, Patricia ; Werner, Eric ; Christian, Cindy W. ; Crawford-Jakubiak, James ; Flaherty, Emalee ; Leventhal, John M. ; Lukefahr, James L ; Sege, Robert. / Evaluation for bleeding disorders in suspected child abuse. In: Pediatrics. 2013 ; Vol. 131, No. 4.
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