不明原因的面部瘢痕：虐待儿童还是埃勒斯-当洛综合征？
Unexplained facial scar: child abuse or ehlers-danlos syndrome?
作者信息
Abtahi-Naeini Bahareh, Shapouri Javad, Masjedi Mohsen, Saffaei Ali, Pourazizi Mohsen
机构信息
Department of Dermatology, Medicine Students' Research Committee, Skin Diseases and Leishmaniasis Research Center, Isfahan, Iran.
Department of Pediatric, Qom University of Medical Science, Qom, Iran.
出版信息
N Am J Med Sci. 2014 Nov;6(11):595-8. doi: 10.4103/1947-2714.145482.
CONTEXT
Child abuse is a serious problem, and its physical manifestations can be mimicked by certain diseases and conditions. These conditions can include genetic, congenital and other disorders that may result in poor weight gain, bone fractures or skin lesions that look like bruises or burns.
CASE REPORT
This paper reports the case of a seven-year-old girl with Ehlers-Danlos Syndrome (EDS), which was misdiagnosed as child abuse. This child was referred to us for treatment of an unexplained facial scar that was alleged to be the result of child abuse.
CONCLUSION
When unusual skin presentations are observed, dermatologists should consider the possibility of child abuse to protect the child. Furthermore, they should be aware of the cutaneous abnormalities that mimic injuries associated with abuse to avoid the unnecessary reporting of child abuse.
背景
虐待儿童是一个严重的问题，其身体表现可能被某些疾病和状况所模仿。这些状况可能包括遗传、先天性及其他疾病，这些疾病可能导致体重增加缓慢、骨折或看起来像瘀伤或烧伤的皮肤损伤。
病例报告
本文报告了一名患有埃勒斯-当洛综合征（EDS）的七岁女孩被误诊为虐待儿童的病例。这名儿童因一处不明原因的面部疤痕被转介给我们治疗，据称该疤痕是虐待儿童的结果。
结论
当观察到异常的皮肤表现时，皮肤科医生应考虑虐待儿童的可能性以保护儿童。此外，他们应了解模仿与虐待相关损伤的皮肤异常情况，以避免不必要地报告虐待儿童事件。
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