1984
DOI: 10.1001/archderm.120.1.97
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Ehlers-Danlos syndrome simulating child abuse

Abstract: We report an unusual insight into the impact of an inherited skin disorder on persons and their families through a child abuse evaluation that was concluded by the diagnosis of Ehlers-Danlos syndrome (EDS) in a 6-year-old girl. To our knowledge, no similar case has been reported in the literature, although other such cases of confusion in diagnosis have been confirmed.

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Cited by 10 publications
(6 citation statements)
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“…Although, the injury patterns in an abusive situation against the accidental trauma have been described in the literature, there is a paucity of information that differentiates the effects of EDS from child abuse. [ 9 10 ] When a common illness mimics child abuse, it is typically diagnosed, but this often is not the case for rare diseases. The physicians often misdiagnose child abuse with other rare diseases.…”
Section: Discussionmentioning
confidence: 99%
“…Although, the injury patterns in an abusive situation against the accidental trauma have been described in the literature, there is a paucity of information that differentiates the effects of EDS from child abuse. [ 9 10 ] When a common illness mimics child abuse, it is typically diagnosed, but this often is not the case for rare diseases. The physicians often misdiagnose child abuse with other rare diseases.…”
Section: Discussionmentioning
confidence: 99%
“…Fur- thermore, a patient with EDS type IV may bruise easily because of the associated skin fragility and may show voluminous hematomas despite normal findings in coagulation studies. These symptoms may easily be confused with signs of child abuse [24].…”
Section: Discussionmentioning
confidence: 99%
“…33 EhlerseDanlos syndrome is characterized by easy bruising with associated scarring, often described as ''cigarette paper'' scars, after minor trauma. 34 Children also have variable degrees of joint hypermobility, skin hyperextensibility, and tissue fragility. 35 Diagnosis is possible for both disorders via genetic testing.…”
Section: Bruisesmentioning
confidence: 99%
“…Anogenital condyloma is most often caused by HPV types 6 and 11. HPV types 16,18,31,33,34,35,45, and 56 are also associated with condyloma, but are more frequently documented in the absence of skin or mucosal lesions. 82 Although nonsexual transmission is the most likely cause of anogenital or oral HPV in children under the age of 3 years, child sexual abuse should still be considered.…”
Section: Sexually Transmitted Infectionsmentioning
confidence: 99%