MacDuff Sabrina, Sun Joanne, Bell Derek E, Lentz Christoper W, Kahn Steven A
From the *University of Rochester Medical Center, Rochester, NY; †Integris Baptist Medical Center, Oklahoma City, OK; and ‡Department of Surgery, University of South Alabama Medical Center, Mobile, AL.
Pediatr Emerg Care. 2016 Aug;32(8):541-3. doi: 10.1097/PEC.0000000000000855.
The purpose of this study was to present a case report and review the relevant literature on laxative-induced dermatitis being mistaken for scald injury and child abuse.
A 33-month-old girl presented with partial thickness burn to the buttocks and perineum, which were suspected to be caused by child abuse. On further investigation, the parents had been administering large doses of laxatives to the child for chronic constipation.
Child abuse by burning has characteristic physical examination findings, which differ from the pattern of laxative-induced dermatitis that has been reported in the literature. Diapers appear to be a risk factor for laxative-induced dermatitis. Surprisingly, the dose of laxative does not correlate with the severity of the burn injury. All physicians must be aware of the possibility of laxative-induced dermatitis mimicking scald burn injury to the buttocks. Parents should be educated about the risk of administering over-the-counter laxatives to children.
本研究旨在呈现一例病例报告，并回顾关于泻药诱发的皮炎被误诊为烫伤和虐待儿童的相关文献。
一名33个月大的女童臀部和会阴部出现了部分厚度烧伤，最初怀疑是由虐待儿童所致。进一步调查发现，其父母因孩子长期便秘而给她服用了大剂量泻药。
烫伤虐待儿童有其特征性的体格检查结果，这与文献中报道的泻药诱发皮炎的表现不同。尿布似乎是泻药诱发皮炎的一个危险因素。令人惊讶的是，泻药的剂量与烧伤的严重程度并无关联。所有医生都必须意识到泻药诱发的皮炎可能会被误诊为臀部烫伤。应该让家长了解给儿童使用非处方泻药的风险。
