Estimation of the Age of Cutaneous Contusions in Child Abuse

Author:

Wilson E. F.1

Affiliation:

1. Office of the State Medical Examiner, Lane County, 401 East Tenth, Eugene, Oregon 97401

Abstract

Estimation of the age of a cutaneous contusion on an abused child is probably more often requested of pediatricians and family practitioners than of pathologists. Guidelines for this estimation are not easily found and are not available in a standard textbook on child abuse.1 Some previously reported guidelines are presented below, modified only by being placed in tabular form (Table).2-6 A contusion of the skin follows the application of blunt force sufficient to disrupt vessels, usually capillaries, from which blood escapes and accumulates in the corium and/or subcutis, without loss of the integrity of the surface of the skin. The bleeding usually starts immediately following disruption of the vessel wall and may continue only briefly or persist for hours.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Cited by 7 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Child Abuse, Non-Accidental Trauma, and Inflicted Injuries;Forensic Aspects of Paediatric Fractures;2023

2. Blunt-Force Trauma: Bruises;Cutaneous Manifestations of Child Abuse and Their Differential Diagnosis;2012-05-29

3. Evaluating Suspicious Skin Findings in Children;Cutaneous Manifestations of Child Abuse and Their Differential Diagnosis;2012-05-29

4. How the blood pool properties at onset affect the temporal behavior of simulated bruises;Medical & Biological Engineering & Computing;2012-01-20

5. Haematological abnormalities that can simulate abuse;Paediatric Forensic Medicine and Pathology;2008-11-28

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