Physical Abuse: Cutaneous Injuries

Abstract

Cutaneous injuries are the most common presentation of child physical abuse. Identification of injuries concerning for physical abuse is a challenging but important responsibility of pediatric clinicians. It is important for pediatric clinicians to consider 3 key features including age/developmental abilities of child, location of injury, and pattern of injury when assessing injuries concerning for abuse. A thorough medical evaluation and consideration of a broad differential help ensure that a medical mimic is not mistaken for abuse. Early identification of concerning injuries and reporting to appropriate agencies may protect children from further harm.

Keywords: Bleeding disorder; Bruising; Burns; Mimic; Patterned injury; Physical abuse.