Levin A V, Selbst S M
Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania.
Clin Pediatr (Phila). 1988 Apr;27(4):213-5. doi: 10.1177/000992288802700409.
An infant with a vulvar hemangioma that had undergone extensive ulcerative changes was initially diagnosed as having a perineal burn secondary to child abuse. Although genital burns are a well-recognized manifestation of child abuse, knowledge of the natural course of untreated hemangiomas and the uncommon complication of ulceration as well as familiarity with the characteristic patterns of abusive burn injuries may allow the physician to avoid making this misdiagnosis. The confusion in diagnosis led to an extensive social service investigation that, in this case, had a positive outcome for the mother's ability to cope. There exists, however, the possibility of iatrogenic-induced emotional stress if child abuse is misdiagnosed.
一名患有外阴血管瘤且已发生广泛溃疡性改变的婴儿最初被诊断为因虐待儿童导致的会阴烧伤。尽管生殖器烧伤是虐待儿童的一种公认表现，但了解未经治疗的血管瘤的自然病程以及溃疡这一罕见并发症，同时熟悉虐待性烧伤损伤的特征模式，可能会使医生避免做出这种误诊。诊断上的混淆导致了广泛的社会服务调查，在这个案例中，这对母亲的应对能力产生了积极影响。然而，如果误诊为虐待儿童，就存在医源性诱发情绪压力的可能性。
