Violência contra a criança: indicadores dermatológicos e diagnósticos diferenciais

Context:Child abuse is a serious problem, and its physical manifestations can be mimicked by certain diseases and conditions. These conditions can include genetic, congenital and other disorders that may result in poor weight gain, bone fractures or skin lesions that look like bruises or burns.Case Report:This paper reports the case of a seven-year-old girl with Ehlers-Danlos Syndrome (EDS), which was misdiagnosed as child abuse. This child was referred to us for treatment of an unexplained facial scar that was alleged to be the result of child abuse.Conclusion:When unusual skin presentations are observed, dermatologists should consider the possibility of child abuse to protect the child. Furthermore, they should be aware of the cutaneous abnormalities that mimic injuries associated with abuse to avoid the unnecessary reporting of child abuse.

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“… Little guidance or no training in recognizing the problem and Not understanding its true dimensions. [ 4 ] …”

Section: Discussionmentioning

confidence: 99%

“…[ 2 ] Although child abuse must always be suspected when the child has unusual marks or injuries that do not match the given history,[ 3 ] but it is necessary to distinguish such abuse from the results of certain diseases. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Unexplained facial scar: Child abuse or Ehlers-Danlos syndrome?

et al. 2014

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“…10 In children, such patterns of lesions are considered non-accidental and are commonly found in areas such as hands, ears, neck, arms, posterior and medial faces of the thighs, and other areas, such as the gluteal and genital regions, which can indicate abuse. 40 Unfortunately, these patterns cannot generally be observed in animals until the time of necropsy, when the skin is deflected and bruising is present in the subcutaneous tissue. Upon analysis, lesions caused by blunt force trauma were found most frequently on the abdomen, followed by the head and thorax.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Non-accidental injuries found in necropsies of domestic cats: a review of 191 cases

Siqueira

Cassiano

Landi

et al. 2012

Journal of Feline Medicine and Surgery

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Animal cruelty is defined as a deliberate action that causes pain and suffering to an animal. In Brazil, legislation known as the Environmental Crimes Law states that cruelty toward all animal species is criminal in nature. From 644 domestic cats necropsied between January 1998 and December 2009, 191 (29.66%) presented lesions highly suggestive of animal cruelty. The main necroscopic finding was exogenous carbamate poisoning (75.39%) followed by blunt-force trauma (21.99%). Cats from 7 months to 2 years of age were the most affected (50.79%). In Brazil, violence is a public health problem and there is a high prevalence of domestic violence. Therefore, even if laws provide for animal welfare and protection, animals are common targets for violent acts. Within a context of social violence, cruelty toward animals is an important parameter to be considered, and the non-accidental lesions that were found are evidence of malicious actions.

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“…As a result, this work is important to insert this theme within the dental teaching of Brazilian universities, discussing the social and technical responsibility of the professional and must identify and denounce physical violence against children immediately to ensure their well-being and good development of it. At the same time, and still, according to the content presented, a scarcity of a certain attitude is assumed, and much of this is due to the little attention provided to the study of such a field of defense and guarantee of the child's right (CAVALCANTI, 2009;GONDIM et al, 2011).…”

Section: )mentioning

confidence: 99%

Child physical violence and the professional duty of the dentist: literature review

Sartori¹,

Struckel²,

Naufel³

et al. 2023

Collection of International Topics in Health Science- V1

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The present study aimed to conduct a non-systematic review of the literature on physical violence against creations, addressing the following factors s: indicators of maltreatment and legal aspects, besides elucidating the importance of the dentist in the diagnosis and the ideal conduct to be taken by him. Thus, through the analysis and discussion of the theoretical foundation presented, we seek to establish the current Brazilian panorama on child physical violence. The study is divided into seven topics of exposure: the abstract, the introduction, the objectives, the methodology, the literature review, the discussion, and the conclusion, thus composing the desired content. Is also used for formulation and elaboration, the following researched journals are used: Latin American and Caribbean Literature on Health Sciences (LILACS), Brazilian Dentistry Bibliography (BBO), Scientific Electronic Library Online (SCIELO), Medical Literature Analysis and Retrieval System Online (MEDLINE) and CAPES Portal. Articles from the last 18 years were used, seeking the following keywords: "abuse", "violence", "child abuse", "orofacial injuries" and "dentistry". Despite the scarcity of underreporting of this violence, it was found that the orofacial region is often the place of multiple lesions resulting from physical violence, making clear the importance of the dentist in identifying and notifying this violence.

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Violência contra a criança: indicadores dermatológicos e diagnósticos diferenciais

Cited by 13 publications

References 83 publications

Unexplained facial scar: Child abuse or Ehlers-Danlos syndrome?

Unexplained facial scar: Child abuse or Ehlers-Danlos syndrome?

Non-accidental injuries found in necropsies of domestic cats: a review of 191 cases

Child physical violence and the professional duty of the dentist: literature review

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