title: [Burns in children: child abuse or another cause?].
abstract: Burns are common in children but it is not always clear whether the burn is accidental or not. Child abuse should always be considered. We present two children in which the diagnosis only became clear after admission and further investigation. Patient A, a 15-month-old boy, had a burn on his left shoulder. The burn was assumed suspect in view of the unclear history given by the parents and a possible delay in their seeking help. The patient was ultimately diagnosed with impetigo bullosa and successfully treated with antibiotics. Patient B, a 24-month-old girl, had burns on both feet and her right hand, which were infected as a result of the delay in seeking help. The burns were identified as abuse-related. The child was removed from her mother's care and sent to a foster home. A well-defined work-up should be followed in case of burns in children.
authors.affiliation: St. Lucas Andreas Ziekenhuis, afd. Kindergeneeskunde, Amsterdam, the Netherlands. roelofve@gmail.com
authors.forename: Roelof
authors.initials: R
authors.lastname: van Ewijk
authors.forename: Moniek E
authors.initials: ME
authors.lastname: op de Coul
authors.forename: A H Rian
authors.initials: AH
authors.lastname: Teeuw
authors.forename: Bart H M
authors.initials: BH
authors.lastname: Wolf
mesh_terms: D000059:Accidents; D002056:Burns / Q000175:diagnosis*; D002649:Child Abuse / Q000175:diagnosis*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007169:Impetigo / Q000175:diagnosis*; D007223:Infant; D008297:Male; D009426:Netherlands