@article{ref1,
title="Evaluation for bleeding disorders in suspected child abuse",
journal="Pediatrics",
year="2022",
author="Anderst, James and Carpenter, Shannon L. and Abshire, Thomas C. and Killough, Emily and Mendonça, Eneida A. and Downs, Stephen M. and Wetmore, Cynthia and Allen, Carl and Dickens, David and Harper, James and Rogers, Zora R. and Jain, Juhi and Warwick, Anne and Yates, Amber and Hord, Jeffrey and Lipton, Jeffrey and Wilson, Hope and Kirkwood, Suzanne and Haney, Suzanne B. and Asnes, Andrea Gottsegen and Gavril, Amy R. and Girardet, Rebecca Greenlee and Heavilin, Nancy and Gilmartin, Amanda Bird Hoffert and Laskey, Antoinette and Messner, Stephen A. and Mohr, Bethany Anne and Nienow, Shalon Marie and Rosado, Norell and Idzerda, Sheila M. and Legano, Lori A. and Raj, Anish and Sirotnak, Andrew P. and Forkey, Heather C. and Keeshin, Brooks and Matjasko, Jennifer and Edward, Heather and Chavdar, Müge and Di Paola, Jorge and Leavey, Patrick and Graham, Doug and Hastings, Caroline and Hijiya, Nobuko and Hord, Jeffrey and Matthews, Dana and Pace, Betty and Velez, Maria C. and Wechsler, Dan and Billett, Amy and Stork, Linda and Hooker, Ryan",
volume="150",
number="4",
pages="e2022059276-e2022059276",
abstract="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.<p /> <p>Language: en</p>",
language="en",
issn="0031-4005",
doi="10.1542/peds.2022-059276",
url="http://dx.doi.org/10.1542/peds.2022-059276"
}