Evaluation for Bleeding Disorders in Suspected Child Abuse.
Anderst James, Carpenter Shannon L, Abshire Thomas C, Killough Emily, AAP SECTION ON HEMATOLOGY/ONCOLOGY, THE AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY/ONCOLOGY, THE AAP COUNCIL ON CHILD ABUSE AND NEGLECT, Consultants, Mendonca Eneida A, Downs Stephen M, Section on Hematology/Oncology executive committee, 2020–2021, Wetmore Cynthia, Allen Carl, Dickens David, Harper James, Rogers Zora R, Jain Juhi, Warwick Anne, Yates Amber, past executive committee members, Hord Jeffrey, Lipton Jeffrey, Wilson Hope, staff, Kirkwood Suzanne, Council on Child Abuse and Neglect, 2020–2021, Haney Suzanne B, Asnes Andrea Gottsegen, Gavril Amy R, Girardet Rebecca Greenlee, Heavilin Nancy, Gilmartin Amanda Bird Hoffert, Laskey Antoinette, Messner Stephen A, Mohr Bethany Anne, Nienow Shalon Marie, Rosado Norell, cast Council on Child Abuse and Neglect executive committee members, Idzerda Sheila M, Legano Lori A, Raj Anish, Sirotnak Andrew P, Liaisons, Forkey Heather C, Council on Foster Care, Adoption and Kinship Care, Keeshin Brooks, American Academy of Child and Adolescent Psychiatry, Matjasko Jennifer, Centers for Disease Control and Prevention, Edward Heather, Section on Pediatric Trainees, staff, Chavdar Müge, American Society of Pediatric Hematology/Oncology Board of Trustees, 2020–2021, Di Paola Jorge, Leavey Patrick, Graham Doug, Hastings Caroline, Hijiya Nobuko, Hord Jeffrey, Matthews Dana, Pace Betty, Velez Maria C, Wechsler Dan, past board members, Billett Amy, Stork Linda, staff, Hooker Ryan
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Аннотация
Bruising or bleeding in a child can raise the concern for child abuse. Assessing whether the findings are the result of trauma and/or whether the child has a bleeding disorder is critical. Many bleeding disorders are rare, and not every child with bruising/bleeding that may raise a concern for abuse requires an evaluation for bleeding disorders. However, in some instances, bleeding disorders can present in a manner similar to child abuse. Bleeding disorders cannot be ruled out solely on the basis of patient and family history, no matter how extensive. The history and clinical evaluation can be used to determine the necessity of an evaluation for a possible bleeding disorder, and prevalence and known clinical presentations of individual bleeding disorders can be used to guide the extent of laboratory testing. This clinical report provides guidance to pediatricians and other clinicians regarding the evaluation for bleeding disorders when child abuse is suspected.
Для цитирования: Anderst James, Carpenter Shannon L, Abshire Thomas C, Killough Emily, AAP SECTION ON HEMATOLOGY/ONCOLOGY, THE AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY/ONCOLOGY, THE AAP COUNCIL ON CHILD ABUSE AND NEGLECT, Consultants, Mendonca Eneida A, Downs Stephen M, Section on Hematology/Oncology executive committee, 2020–2021, Wetmore Cynthia, Allen Carl, Dickens David, Harper James, Rogers Zora R, Jain Juhi, Warwick Anne, Yates Amber, past executive committee members, Hord Jeffrey, Lipton Jeffrey, Wilson Hope, staff, Kirkwood Suzanne, Council on Child Abuse and Neglect, 2020–2021, Haney Suzanne B, Asnes Andrea Gottsegen, Gavril Amy R, Girardet Rebecca Greenlee, Heavilin Nancy, Gilmartin Amanda Bird Hoffert, Laskey Antoinette, Messner Stephen A, Mohr Bethany Anne, Nienow Shalon Marie, Rosado Norell, cast Council on Child Abuse and Neglect executive committee members, Idzerda Sheila M, Legano Lori A, Raj Anish, Sirotnak Andrew P, Liaisons, Forkey Heather C, Council on Foster Care, Adoption and Kinship Care, Keeshin Brooks, American Academy of Child and Adolescent Psychiatry, Matjasko Jennifer, Centers for Disease Control and Prevention, Edward Heather, Section on Pediatric Trainees, staff, Chavdar Müge, American Society of Pediatric Hematology/Oncology Board of Trustees, 2020–2021, Di Paola Jorge, Leavey Patrick, Graham Doug, Hastings Caroline, Hijiya Nobuko, Hord Jeffrey, Matthews Dana, Pace Betty, Velez Maria C, Wechsler Dan, past board members, Billett Amy, Stork Linda, staff, Hooker Ryan. Evaluation for Bleeding Disorders in Suspected Child Abuse.. Pediatrics. 2022. DOI: 10.1542/peds.2022-059276.
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