A case-control study of anatomic changes resulting from sexual abuse

Berenson, Abbey B.; Chacko, Mariam R.; Wiemann, Constance M.; Mishaw, Clifford O.; Friedrich, William N.; Grady, James J.

doi:10.1016/s0002-9378(00)70331-0

Cited by 182 publications

(111 citation statements)

References 20 publications

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“…4,14 In our study, there was a low percentage of girls (3.6%) with physical findings definitively suggestive of CSA, data which are consistent with other publications. 2,6 A normal physical exam does not invalidate a diagnosis of abuse; the girl's account is fundamental.…”

Section: Discussionsupporting

confidence: 92%

“…1 G e n i t a l e x a m i n a t i o n i s considered a major element when examining a girl victim of abuse. Standards for terminology and classification schemes of physical findings have been established in several publications for the purpose of establishing a relation to the diagnosis of CSA, [2][3][4] and have become a useful diagnostic tool in clinical practice. However, several studies have demonstrated that diagnosis is not commonly based on physical findings.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse

2015

Arch Argent Pediat

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse

2015

Arch Argent Pediat

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“…Even among the published studies, wide differences have existed between the rate of abnormal or supportive findings reported among children examined for suspected sexual abuse, from 50% to 90%, [14][15][16][17] to 15-20% in many reports in the 1990s, [18][19][20] to less than 4% in large series published since 2000 [21,22]. In our study, a supportive medical opinion was found among 52% of children less than 10 years.…”

Section: Discussioncontrasting

confidence: 53%

“…Medical literature on opinions given by experts on sexual abuse based on genital findings is scarce and limited to case reports or descriptive studies [12][13][14][15][16][17][18][19][20][21][22]. Even among the published studies, wide differences have existed between the rate of abnormal or supportive findings reported among children examined for suspected sexual abuse, from 50% to 90%, [14][15][16][17] to 15-20% in many reports in the 1990s, [18][19][20] to less than 4% in large series published since 2000 [21,22].…”

Section: Discussionmentioning

confidence: 99%

An Expert and Expectations: A review on Medico-legal opinions in alleged sexual abuse victims

Edirisinghe¹,

Kitulwatte²

2016

Medico-Legal J SL

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Introduction An expert's role is to guide the courts in matters related to a particular speciality. In a case of alleged sexual assault an expert is expected to document the history, examination findings and collect available evidence in order to corroborate accounts of sexual assault for courts of law. However in many instances, the medico-legal evidence has shown its limitations and inconsistencies of expert evidence which are known to result in miscarriage of justice.

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“…Cinsel istismar olgularında fiziksel bulguların varlığının düşünüldüğü kadar sık olmadığı bildirilmiştir (44). Bir çalışmada, saldırı eyleminden sonraki 72 saatte içinde mağdurların yalnızca %13'ünde anal bulgu tespit edildiği belirtilmiştir.…”

Section: Sonuçunclassified

Çocukluk Çağında Anogenıtal Verru ve Cinsel İstismar

Demirkıran¹,

Arslan²

2014

Bull Leg Med

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ÖZETÇocuklarda anogenital bölgede cinsel yolla bulaşan hastalıkların varlığı cinsel istismarın delilidir. Human papilloma virüs (HPV) yetişkinlerin %80 ini etkileyen, en sık görülen cinsel yolla geçen hastalık kabul edilmektedir. Bu virüsün oluşturduğu verrülerin çocuklarda görülmesi cinsel istismar kanısı oluşturmaktadır. Çalışmamızda anogonital verrü (AGV) ile ilgili literatür derlemesi yaparak AGV'li çocuk olgularına adli tıp yönünden yaklaşım önerilerini sunmayı amaçladık. Yapılan çalışmalara göre HPV'nin cinsel istismar dışında farklı bulaş yollarının olduğu bilimsel olarak saptanmıştır. Bu nedenle AGV'li çocuklara yaklaşımda cinsel istismar ön yargısının kırılması gerektiği kanaati oluşmuştur. Çocuklar ve aileler "cinsel istismar" psikolojisinden uzak tutulmalıdır. Bu olgulara multidisipliner yaklaşılarak bulaş yolu hakkında kanaat oluştuktan sonra adli olgu açısından değerlendirilmelidir.Anahtar kelimeler: Anogenital verrü, bulaş yolları, cinsel istismar, HPV ABSTRACTThe presence of sexually transmitted diseases at anogenital region of children is an evidence of sexually abuse. Human papilloma virus (HPV) which affects 80% of adults is considered to be the most common sexually transmitted disease. The warts which were formed in children secondary to HPV, may be an indicator of sexual abuse. Following a review of the literature about the children with anogenital warts (AGW), we aimed at sharing the suggestions for the approach in this group of patients, from the forensic point of view.It has also been proved scientifically that HPV may be transmitted in some other ways else than sexual abuse. Therefore in children with AGW, the prejudicied consideration as having formed secondary to sexual abuse should be broken. Children and their families must not be misinformed in order to avoid the psychological stress of having formed secondary to sexual abuse. These cases should be evaluated by a multidisciplinary approach and may only be considered as a forensic case after having a clear judgement about way of sexually transmission.

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A case-control study of anatomic changes resulting from sexual abuse

Cited by 182 publications

References 20 publications

Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse

Prevalence of vulvovaginitis and relation to physical findings in girls assessed for suspected child sexual abuse

An Expert and Expectations: A review on Medico-legal opinions in alleged sexual abuse victims

Çocukluk Çağında Anogenıtal Verru ve Cinsel İstismar

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