Constricting bands. Manifestations of possible child abuse. Case reports and a review.
Bands around extremities may be from congenital, infectious, accidental, or purposeful causes. The older child may reveal the cause of self-inflicted or caregiver-inflicted banding. Banding in a nonverbal child will challenge the diagnostic acumen of the physician. Bands of unknown cause, or bands that may have been placed purposefully by a caretaker, must be reported as possible child abuse. Failure of the caretaker to seek help for the consequences of a band may suggest that the bands were intentionally placed. This failure may also be construed as medical neglect. Four cases of banding, which were referred to a child abuse program for consultation, are described.
Ohio State University College of Medicine, Child Abuse Program, Children's Hospital, Inc., Columbus 43205.
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Johnson
D000293:Adolescent; D002649:Child Abuse; D002675:Child, Preschool; D002921:Cicatrix / Q000209:etiology*; D003250:Constriction / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male