The Formation of a False Positive Sexual Abuse due to Thrombocytopenia: A Case Report
    PDF
    Cite
    Share
    Request
    Case Report
    P: 64-67
    April 2021

    The Formation of a False Positive Sexual Abuse due to Thrombocytopenia: A Case Report

    The Bulletin of Legal Medicine 2021;26(1):64-67
    1. Malatya Adli Tıp Grup Başkanlığı, Malatya, Türkiye
    2. Sivas Cumhuriyet Üniversitesi Tıp Fakültesi, Adli Tıp Anabilim Dalı, Sivas, Türkiye
    3. Sivas Cumhuriyet Üniversitesi Tıp Fakültesi, Pediyatri Anabilim Dalı, Sivas, Türkiye
    4. Sivas Cumhuriyet Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı Hastalıkları Anabilim Dalı, Sivas, Türkiye
    No information available.
    No information available
    Received Date: 21.06.2020
    Accepted Date: 13.03.2021
    Publish Date: 21.04.2021
    PDF
    Cite
    Share
    Request

    ABSTRACT

    Child abuse is a serious problem with its complex causes and tragic consequences, including medical, legal, developmental and psychosocial. Child sexual abuse is the most difficult to detect among child abuse types. It is an important public health problem that has been faced with serious difficulties in diagnosing and has not been appeared the greater part of it. Our case is about a two-years three-month-old girl. The patient was chosen as a case after evaluating suspected child abuse and haemolytic uremic syndrome, finding such as subcutaneous bleeding, and sexual abuse which is based on thrombocytopenic ecchymosis. Within importance of diagnosing findings of abuse, some diseases or lesions should be evaluated well in the differential diagnosis. In this study, it was aimed to draw attention to a case report that it is necessary to consider hematologic, gastrointestinal and some infectious diseases in the differential diagnosis of findings that evaluate false positive as sexual abuse.

    Keywords: Hemolytic Uremic Syndrome, thrombocytopenia, Sexual Abuse, Forensic Medicine

    References

    1
    First Istanbul Children’s Congress, Istanbul Children’s Report. Istanbul:İstanbul Children’s Foundation Publications; 2000:138-146.
    2
    World Health Organization. Child maltreatment. Available from: http://www.who. int/topics/childabuse/en/2007
    3
    Badoe E. A critical review of child abuse and its management in Africa. Afr J Emerg Med. 2017;7:32-35. https://doi.org/10.1016/j.afjem.2017.09.002
    4
    Letourneau EJ, Brown DS, Fang X, Hassan A, Mercy JA. The economic burden of child sexual abuse in the United States, Child Abuse Negl. 2018;79:413-422. https://doi.org/10.1016/j.chiabu.2018.02.020
    5
    Dubowitz H. Preventing child neglect and physical abuse. Pediatr Rev. 2002;23:191-196. https://doi.org/10.1542/pir.23-6-191
    6
    Mc Crory E, De Brito SA, Viding E. The link between child abuse and psychopathology: a review of neurobiological and genetic research. J R Soc Med. 2012;105(4):151-156. https://doi.org/10.1258/jrsm.2011.110222
    7
    Özer E, Bütün C, Beyaztaş FY, Engin A. The evaluation of the children confronted with sexual abuse at Çorum chairmanship of the council of forensic medicine in the period of 2006-2007. Cumhuriyet Medical Journal. 2007;29(2):51-55.
    8
    Korkmaz B, Özkök MS, Kallem FÇ, Dirlik M, Katkıcı U. Is it physical abuse or blue sclera? A case report. The Bulletin of Legal Medicine. 2017;22(1):64-66. https://doi.org/10.17986/blm.2017127143
    9
    Kara B, Biçer Ü, Gökalp AS. Child abuse. J Pediatr. 2004;47:140-151.
    10
    World Health Organization. Child Abuse and neglect by parents and other caregivers. Geneva, World Health Organization, 200 Tercier A. Child abuse. In: JA Maer, editor. Emergency Medicine. 4thed. St. Louis: Mosby; 1998:1108-1118.
    11
    Swerdlin A., Berkowitz C, Craft N. Cutaneous signs of child abuse. J Am Acad Dermatol. 2007;57(3):371-392. https://doi.org/10.1016/j.jaad.2007.06.001
    12
    Bergstein J. Hemolytic uremic syndrome. In: Behrman RE, Kliegman RM, Jenson HB editors. Nelson textbook of pediatrics. Philadelphia: Saunders Company; 2000:1586-1587.
    13
    Devecioğlu Ö. Neyzi O, Ertuğrul T. Kanama ve pıhtılasma bozuklukları. Pediatri. 3. baskı. İstanbul: Nobel Kitapevi; 2002:1078-1082.
    14
    Fremeaux-Bacchi V, Fakhouri F, Roumenina L, Dragon-Durey MA, Loirat C. Atypical hemolytic-uremic syndrome related to abnormalities within the complement system. Rev Med Interne. 2011;32(4):232-240. https://doi.org/10.1016/j.revmed.2009.09.039
    15
    Kavanagh D, Goodship TH, Richards A. Atypical hemolytic uremic syndrome. Semin Nephrol. 2013;33:508-530. https://doi.org/10.1016/j.semnephrol.2013.08.003
    16
    Picard C, Burtey S, Bornet C, Curti C, Montana M, Vanelle P. Pathophysiology and treatment of typical and atypical hemolytic uremic syndrome, Pathol Biol (Paris). 2015;63:136-143. https://doi.org/10.1016/j.patbio.2015.03.001
    17
    Lee M, Tzen CY, Lin CC, Huang F, Liu H, Tsai J. Hemolytic uremic syndrome caused by enteroviral infection. Pediatr Neonatol. 2013;54:207-210. https://doi.org/10.1016/j.pedneo.2012.10.012
    18
    Kılıç Ö, Ağzıkuru T, Cömert S, Çiçek N, Vitrinel A, Akın Y, Hemolytic uremic syndrome: 4 cases Report, J KARTAL TR. 2004;15(2):108-110.
    19
    Öktem F, Kuybulu A.E., Hemolytic uremic syndrome, Dicle Med J. 2011;38(4):519-525 https://doi.org/10.5798/diclemedj.0921.2011.04.0081
    20
    Aydoğdu S., Karaman S., Karakaş Z, Approach to thrombocytophenia in children, Çocuk Dergisi. 2016;16(3-4):67-73. https://doi.org/10.5222/j.child.2016.067
    2024 ©️ Galenos Publishing House