title: [Two children with cerebral and retinal hemorrhages: do not diagnose shaken baby syndrome too rapidly].
abstract: We report on 2 cases associating retinal (RH) and cerebral hemorrhages (CH), which first suggested the diagnosis of shaken baby syndrome (SBS). After an etiologic search, the diagnosis was corrected: the first case was a late hemorrhagic disease of the newborn and the second case hemophilia A. RH is a major feature of SBS, although not pathognomonic. There is no specific RH of SBS but they usually affect the posterior retinal pole. Typically, RHs of SBS are present in both eyes, although unilateral RHs do not exclude the diagnosis of SBS. The relationship between RH and CH has been reported in SBS but also in other diseases. Thus, one must search for hemostasis abnormalities, even though the clinical presentation suggests SBS. Ignoring SBS as well as coming to the conclusion of SBS too quickly should be avoided. Diagnostic difficulties may be related to the number of physicians involved and their interpretation of the facts. These 2 cases underline the need for working as a team that includes hematologists able to interpret coagulation parameters.
authors: Service de réanimation pédiatrique, faculté de médecine, université de Lille-Nord de France, hôpital Jeanne-de-Flandre, CHU de Lille, 54, avenue Eugène-Avinée, 59037 Lille cedex, France.
authors: A
authors: A
authors: Botte
authors: A
authors: A
authors: Mars
authors: B
authors: B
authors: Wibaut
authors: S
authors: S
authors: De Foort-Dhellemmes
authors: M
authors: M
authors: Vinchon
authors: F
authors: F
authors: Leclerc
mesh_terms: D000933:Antifibrinolytic Agents / Q000008:administration & dosage; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003029:Coagulants / Q000008:administration & dosage; D003241:Consanguinity; D003937:Diagnosis, Differential; D005169:Factor VIII / Q000008:administration & dosage; D017809:Fatal Outcome; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006467:Hemophilia A / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012307:Risk Factors; D038642:Shaken Baby Syndrome / Q000150:complications* / Q000175:diagnosis; D010837:Vitamin K 1 / Q000008:administration & dosage; D006475:Vitamin K Deficiency Bleeding / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000933:Antifibrinolytic Agents; D003029:Coagulants; D010837:Vitamin K 1; D005169:Factor VIII