TY - JOUR T1 - APparent life-threatening events as an indicator of occult abuse AU - Maffei FA, Powers KS, van der Jagt EW Y1 - 2004/04/01 N1 - 10.1001/archpedi.158.4.402-a JO - Archives of Pediatrics & Adolescent Medicine SP - 402 EP - 402 VL - 158 IS - 4 N2 - The study impetus was the finding of 5 patients with ALTEs ultimately diagnosed with abusive head injury. In these patients, "the initial history and physical examination revealed no apparent cause, but the discovery of retinal hemorrhages in 4 of the infants and the development of focal seizures in the fifth patient prompted further evaluation that led to the diagnosis of child abuse."1(p1013) These cases represent the most challenging of all ALTEs—those infants who have a significant event by history yet lack obvious examination findings that would readily explain such an event. SN - 1072-4710 M3 - doi: 10.1001/archpedi.158.4.402-a UR - http://dx.doi.org/10.1001/archpedi.158.4.402-a ER -