0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Pediatric Forum |

Henoch-Schönlein Purpura in a Child at Risk of Abuse

Kimberly C. Daly, MD; Robert M. Siegel, MD
Arch Pediatr Adolesc Med. 1998;152(1):96-98. doi:.
Text Size: A A A
Published online

Extract

Awareness of child abuse and neglect has been increasing since the publication of "The Battered Child Syndrome" by Kempe et al1 in 1962. In fact, only 447 cases of child abuse were reported in 1962, a number that increased to 2.9 million reported cases in 1992.1,2 Several articles,29 including diagnostic guidelines,10 have been published to help physicians recognize the manifestations of child abuse. Despite these advancements, the diagnosis of child maltreatment can be very difficult to make. It is often difficult to distinguish between accidental and nonaccidental injury. Additionally, several medical conditions have been cited in literature around the world that may mimic the physical manifestations of child abuse, adding further confusion.1128 It is also possible for a physician to be misled by the social situation of a patient. We report a case of a child with an extremely concerning social situation who was initially thought to be a victim of child abuse, but actually had a common medical condition with a confusing presentation.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Henoch-Schönlein purpura in a child at risk of abuse. Arch Pediatr Adolesc Med 1998;152(1):96-8.
Jobs
brightcove.createExperiences();