Bruising and hemophilia: accident or child abuse?
Recognition and prompt reporting of suspect child abuse or neglect is necessary to institute programs aimed at preventing further neglect, re-injury or possible death. The families of children with chronic medical conditions, such as hemophilia, may be affected by economic and emotional stresses which may be expressed as abuse or neglect. Because the manifestations of even slight trauma are so common in children with bleeding problems, the physician may not routinely inquire about the cause of injury, delays in seeking medical attention, or accident prevention efforts in the home. Early referral of children with hemophilia to a multidisciplinary team providing medical, psychological, and social care is recommended.
Johnson
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CF
Ohio State University, Columbus.
Coury
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DL
D000061:Accidents, Home / Q000331:legislation & jurisprudence*; D002649:Child Abuse / Q000331:legislation & jurisprudence*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004438:Ecchymosis / Q000209:etiology*; D006395:Hemarthrosis / Q000209:etiology; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007223:Infant; D008297:Male