University of Connecticut School of Medicine, Farmington, Connecticut.
Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut; Department of Dermatology, University of Florida, Gainesville, Florida.
J Am Acad Dermatol. 2022 Sep;87(3):519-531. doi: 10.1016/j.jaad.2021.12.070. Epub 2022 Mar 23.
Given that some cutaneous mimics of child abuse result from a rare disease, they may be more prone to misdiagnosis. For possible child abuse cases in which diagnosis remains uncertain at the time of initial dermatologic evaluation, it is important that dermatologists are prepared to distinguish actual dermatologic conditions in cases of ambiguous skin findings. Additionally, this review will aid clinicians in recognizing the possibility of concurrent actual dermatologic disease and skin findings related to abuse with the acknowledgment that they are not mutually exclusive. A proper recognition of mimics of abuse may prevent unnecessary stress and child protective service investigation.
鉴于一些儿童虐待的皮肤表现可能是由罕见疾病引起的,因此这些表现可能更容易被误诊。对于在初次皮肤科评估时诊断仍不确定的疑似儿童虐待病例,皮肤科医生必须准备好在皮肤表现不明确的情况下区分实际的皮肤科疾病。此外,本综述将帮助临床医生认识到同时存在实际的皮肤科疾病和与虐待相关的皮肤表现的可能性,同时承认这两者并不相互排斥。正确识别虐待的皮肤表现可以防止不必要的压力和儿童保护服务调查。