Child Abuse

   Mimics of abusive bruising:
> drug ingestion, such as salicylates
> bleeding disorders
> infectious, inflammatory, or autoimmune disorders
> birthmarks
> cultural treatments such as cupping or coining

For more complete discussion of abuse mimics, see differential diagnosis table from e-book by Dr. Botash

Bruising

Bruising is the most common manifestation of physical abuse, occurring in one study in 52% of abused children.

Developmental Milestones

Pattern of bruises may be suggestive of abuse:

Location of bruises may be suggestive of abuse:

[From Maguire S Are there patterns of bruising in childhood which are diagnostic or suggestive of abuse? A systematic review.Arch Dis Child. 2005 Feb;90(2):182-6 and
Sugar NF, Bruises in infants and toddlers Arch Pediatr Adolesc Med 1999;153(4):399]

 

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