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.
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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