Journal of Pediatric Health Care
Volume 24, Issue 4 , Pages 216-221 , July 2010

Bruises in Children: Normal or Child Abuse?

  • Tomika S. Harris, DNP, MSN, CPNP

      Affiliations

    • Corresponding Author InformationCorrespondence: Tomika S. Harris, DNP, MSN, CPNP, University of Texas Health Science Center at Houston School of Nursing, 6901 Bertner Ave #769, Houston, TX 77584

References 

  1. American Academy of Pediatrics Committee on Child Abuse and Neglect. Oral and dental aspects of child abuse and neglect. Pediatrics. 1999;104:348–350
  2. American Academy of Pediatrics Section on Radiology. Diagnostic imaging of child abuse. Pediatrics. 2000;105:1345–1348
  3. American Academy of Pediatrics Committee on Child Abuse and Neglect. When inflicted skin injuries constitute shild abuse. Pediatrics. 2002;110:644–645
  4. Bariciak ED, Plint AC, Gaboury I, Bennett S. Dating of bruises in children: An assessment of physician accuracy. Pediatrics. 2003;112:804–807
  5. Bays J. Conditions mistaken for child physical abuse. In:  Reece RM,  Ludwig S editor. Child abuse and neglect: Medical diagnosis and management (2nd ed., pp. 177–206). Philadelphia: Lippincott, Williams, & Wilkins; 2001;
  6. Carpenter RF. The prevalence and distribution of bruising in babies. Archives of Disease in Childhood. 1999;80:363–366
  7. Chadwick DL. The diagnosis of inflicted injury in infants and young children. Pediatric Annals. 1992;21:477–483
  8. Child Welfare Information Gateway (2008). Child maltreatment 2008: Summary of key findings. Retrieved September 30, 2008, from http://www.childwelfare.gov/pubs/factsheets/canstats.cfm.
  9. Daly KC, Siegel RM. Henoch-Schönlein purpura in a child at risk of abuse. Archives of Pediatric & Adolescent Medicine. 1998;152:96–98
  10. David TJ. Avoidable pitfalls when writing medical reports for court proceedings in cases of suspected child abuse. Archives of Disease in Childhood. 2004;89:799–804
  11. Davis RE. Cultural health care or child abuse? The Southeast Asian practice of Cao gio. Journal of the American Academy of Nurse Practitioners. 2000;123:89–95
  12. Flaherty EG, Sege R. Barriers to physician identification and reporting of child abuse. Archives of Pediatric & Adolescent Medicine. 2005;34:349–356
  13. Flaherty EG, Sege R, Binns HJ, Mattson CL, Christoffel KK. Health care providers' experience reporting child abuse in the primary care setting. Archives of Pediatric & Adolescent Medicine. 2000;15:489–493
  14. Herendeen PM. Evaluation of physical abuse in children. Solid suspicion should be your guide. Advance for Nurse Practitioners. 2002;10:32–37
  15. Hornor G. Physical abuse: Recognition and reporting. Journal of Pediatric Health Care. 2005;19:4–11
  16. Jenny C. Cutaneous management of child abuse. In:  Reece RM,  Ludwig S editor. Child abuse medical diagnosis and management (2nd ed., pp. 23–45). Philadelphia: Lippincott Williams & Wilkins; 2001;
  17. Kellogg, N.D., & American Academy of Pediatrics Committee on Child Abuse and Neglect. (2007). Evaluation of suspected child abuse. Pediatrics, 119, 1232–1241.
  18. Labbe J, Caouette G. Recent skin injuries in normal children. Pediatrics. 2001;108:271–276
  19. Langlois N, Gresham G. The aging of bruises: A review and study of the color changes with time. Forensic Science International. 1991;50:227–238
  20. Limbos MA, Berkowitz CD. Documentation of child physical abuse: How far have we come?. Pediatrics. 1998;102:53–58
  21. Maguire S, Mann MK, Sibert J, Kemp A. Are there patterns of bruising in childhood which are diagnostic or suggestive of abuse? A systematic review. Archives of Disease in Childhood. 2005;90:182–186
  22. Mayer BW, Burns P. Differential diagnosis of abuse injuries in infants and young children. The Nurse Practitioner. 2000;25:15–37
  23. Mudd SS, Findlay JS. The cutaneous manifestations and common mimickers of physical child abuse. Journal of Pediatric Health Care. 2004;18:123–129
  24. Schwartz AJ, Ricci LR. How accurately can bruises be aged in abused children? Literature review and synthesis. Pediatrics. 1996;97:254–257
  25. Sibert J. Bruising, coagulation disorder, and physical child abuse. Blood Coagulation & Fibrinolysis. 2004;15(Suppl. 1):S33–S39
  26. Stephenson T, Bialas Y. Estimation of the age of bruising. Archives of Disease in Childhood. 1996;74:53–55
  27. Sugar NF, Taylor JA, Feldman KW. Bruises in infants and toddlers: Those who don't cruise rarely bruise. Archives of Pediatric & Adolescent Medicine. 1999;153:399–403
  28. Tanner JL, Dechert MP, Frieden IJ. Growing up with a facial hemangioma: Parent and child coping and adaptation. Pediatrics. 1998;101(3 Pt 1):446–452
  29. Thomas AE. The bleeding child; is it NAI?. Archives of Disease in Childhood. 2004;89:1163–1167
  30. Thompson S. Accidental or inflicted?. Pediatric Annals. 2005;34:372–381
  31. U.S. Department of Health and Human Services, Administration for Children and Families, Administration for Children, Youth, and Families (2008). Mandatory reporters of child abuse and neglect: Summary of state laws. Washington, DC. Retrieved from www.childwelfare.gov/systemwide/laws_policies/statutes/manda.cfm.

 Conflicts of interest: None to report.

PII: S0891-5245(09)00100-X

doi: 10.1016/j.pedhc.2009.03.007

Journal of Pediatric Health Care
Volume 24, Issue 4 , Pages 216-221 , July 2010