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Genital and Anal Conditions Confused With Child Sexual Abuse Trauma

Genital and Anal Conditions Confused With Child Sexual Abuse Trauma Abstract • Examination of a child with genital or anal disease may give rise to suspicion of sexual abuse. Dermatologic, traumatic, infectious, and congenital disorders may be confused with sexual abuse. Seven children referred to us are representative of such confusion. (AJDC. 1990;144:1319-1322) References 1. Haugaard JJ, Reppucci ND. The Sexual Abuse of Children . San Francisco, Calif: Jossey-Bass Inc Publishers; 1988:40-47. 2. McCann J, Voris J, Simon M, Wells R. Perianal findings in prepubertal children selected for non-abuse: a descriptive study . Child Abuse Negl . 1989;13:179-193.Crossref 3. Paul DM. The medical examination in sexual offences against children . Med Sci Law . 1977; 17:251-258. 4. McNamara JJ, Baler R, Lynch E. Ehlers-Danlos syndrome reported as child abuse . Clin Pediatr . 1985;24:317. 5. Kirschner RH, Stein RJ. The mistaken diagnosis of child abuse: a form of medical abuse? AJDC . 1985;139:873-875. 6. Coffman K, Boyce WT, Hansen RC. Phytodermatitis simulating child abuse . AJDC . 1985; 139:239-240. 7. Dannaker CJ, Glover RA, Goltz RW. Phytodermatitis: a mystery case report . Clin Pediatr . 1988;27:289-290.Crossref 8. Williams TS, Callen JP, Owen LG. Vulvar disorders in the prepubertal female . Pediatr Ann . 1986;15:588-605.Crossref 9. Handfield-Jones SE, Hinde FRJ, Kennedy CTC. Lichen sclerosus et atrophicus in children misdiagnosed as sexual abuse . BMJ . 1987; 294:1404-1405.Crossref 10. Jenny C, Kirby P, Fuquay D. Genital lichen sclerosus mistaken for child sexual abuse . Pediatrics . 1989;83:597-599. 11. Berkowitz CD, Elvik SL, Logan MK. Labial fusion in prepubescent girls: a marker for sexual abuse? Am J Obstet Gynecol . 1987;156:16-20.Crossref 12. McCann J, Voris J, Simon M. Labial adhesions and posterior fourchette injuries in childhood sexual abuse . AJDC . 1988;142:659-663. 13. Levin AV, Selbst SM. Vulvar hemangioma simulating child abuse . Clin Pediatr . 1988;27:213-215.Crossref 14. Adams JA, Horton M. Is it sexual abuse? Clin Pediatr . 1989;28:146-148.Crossref 15. Muram D. Genital tract injuries in the prepubertal child . Pediatr Ann . 1986;15:616-620.Crossref 16. Unuigbe JA, Giwa-Osagie AW. Pediatric and adolescent gynecological disorders in Benin City, Nigeria . Adolesc Pediatr Gynecol . 1988;1: 257-261.Crossref 17. Hobbs CJ, Wynne JM. Child sexual abuse: an increasing rate of diagnosis . Lancet . 1987;2:837-841.Crossref 18. Finkel MA. Anogenital trauma in sexually abused children . Pediatrics . 1989;84:317-322. 19. Wynne JM. Injuries to the genitalia in female children . S Afr Med J . 1980;57:47-50. 20. Baker R. Seat belt injury masquerading as sexual abuse . Pediatrics . 1986;77:435. 21. Barton DJ, Sloan GM, Nichter LS, Reinisch JF. Hair-thread tourniquet syndrome . Pediatrics . 1988;82:925-928. 22. Woodling BA, Kossoris PD. Sexual misuse: rape, molestation and incest . Pediatr Clin North Am . 1981;28:481-499. 23. Putnam N, Stein M. Self-inflicted injuries in childhood: a review and diagnostic approach . Clin Pediatr . 1985;24:514-518.Crossref 24. Cowell CA. The gynecologic examination of infants, children and young adolescents . Pediatr Clin North Am . 1981;28:247-266. 25. Paul DM. 'What really did happen to baby Jane?' the medical aspects of the investigation of alleged sexual abuse of children . Med Sci Law . 1986;26:85-102. 26. Hey F, Buchan PC, Littlewood JM, Hall RI. Differential diagnosis in child sexual abuse . Lancet . 1987;1:283.Crossref 27. Vickers D, Morris K, Coulthard M, Eastham EJ. Anal signs in haemolytic uraemic syndrome . Lancet . 1988;1:998.Crossref 28. Hobbs CJ, Wynne JM. Sexual abuse of English boys and girls: the importance of the anal examination . Child Abuse Negl . 1989;13:195-210.Crossref 29. Clayden GS. Reflex anal dilation associated with severe chronic constipation in children . Arch Dis Child . 1988;63:832-836.Crossref 30. Zempsky WT, Rosenstein BJ. The cause of rectal prolapse in children . AJDC . 1988;142:338-339. 31. Spear RM, Rothbaum RJ, Keating JP, Blaufuss MC, Rosenblum JL. Perianal streptococcal cellulitis . J Pediatr . 1985;107:557-559.Crossref 32. Boyd M, Jordan SW. Unusual presentation of varicella suggestive of sexual abuse . AJDC . 1987;141:940. 33. Fleming KA, Venning V, Evans M. DNA typing of genital warts and diagnosis of sexual abuse in children . Lancet . 1987;2:454.Crossref 34. Roberts JW, Devine CJ. Urethral hemangioma: treatment by total excision and grafting . J Urol . 1983;129:1053-1054. 35. Lowe FC, Hill GS, Jeffs RD, Brendler CB. Urethral prolapse in children: insights into etiology and management . J Urol . 1986;135:100-103. 36. Krugman RD. Recognition of sexual abuse in children . Pediatr Rev . 1986;8:25-30.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Genital and Anal Conditions Confused With Child Sexual Abuse Trauma

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Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1990.02150360043017
Publisher site
See Article on Publisher Site

Abstract

Abstract • Examination of a child with genital or anal disease may give rise to suspicion of sexual abuse. Dermatologic, traumatic, infectious, and congenital disorders may be confused with sexual abuse. Seven children referred to us are representative of such confusion. (AJDC. 1990;144:1319-1322) References 1. Haugaard JJ, Reppucci ND. The Sexual Abuse of Children . San Francisco, Calif: Jossey-Bass Inc Publishers; 1988:40-47. 2. McCann J, Voris J, Simon M, Wells R. Perianal findings in prepubertal children selected for non-abuse: a descriptive study . Child Abuse Negl . 1989;13:179-193.Crossref 3. Paul DM. The medical examination in sexual offences against children . Med Sci Law . 1977; 17:251-258. 4. McNamara JJ, Baler R, Lynch E. Ehlers-Danlos syndrome reported as child abuse . Clin Pediatr . 1985;24:317. 5. Kirschner RH, Stein RJ. The mistaken diagnosis of child abuse: a form of medical abuse? AJDC . 1985;139:873-875. 6. Coffman K, Boyce WT, Hansen RC. Phytodermatitis simulating child abuse . AJDC . 1985; 139:239-240. 7. Dannaker CJ, Glover RA, Goltz RW. Phytodermatitis: a mystery case report . Clin Pediatr . 1988;27:289-290.Crossref 8. Williams TS, Callen JP, Owen LG. Vulvar disorders in the prepubertal female . Pediatr Ann . 1986;15:588-605.Crossref 9. Handfield-Jones SE, Hinde FRJ, Kennedy CTC. Lichen sclerosus et atrophicus in children misdiagnosed as sexual abuse . BMJ . 1987; 294:1404-1405.Crossref 10. Jenny C, Kirby P, Fuquay D. Genital lichen sclerosus mistaken for child sexual abuse . Pediatrics . 1989;83:597-599. 11. Berkowitz CD, Elvik SL, Logan MK. Labial fusion in prepubescent girls: a marker for sexual abuse? Am J Obstet Gynecol . 1987;156:16-20.Crossref 12. McCann J, Voris J, Simon M. Labial adhesions and posterior fourchette injuries in childhood sexual abuse . AJDC . 1988;142:659-663. 13. Levin AV, Selbst SM. Vulvar hemangioma simulating child abuse . Clin Pediatr . 1988;27:213-215.Crossref 14. Adams JA, Horton M. Is it sexual abuse? Clin Pediatr . 1989;28:146-148.Crossref 15. Muram D. Genital tract injuries in the prepubertal child . Pediatr Ann . 1986;15:616-620.Crossref 16. Unuigbe JA, Giwa-Osagie AW. Pediatric and adolescent gynecological disorders in Benin City, Nigeria . Adolesc Pediatr Gynecol . 1988;1: 257-261.Crossref 17. Hobbs CJ, Wynne JM. Child sexual abuse: an increasing rate of diagnosis . Lancet . 1987;2:837-841.Crossref 18. Finkel MA. Anogenital trauma in sexually abused children . Pediatrics . 1989;84:317-322. 19. Wynne JM. Injuries to the genitalia in female children . S Afr Med J . 1980;57:47-50. 20. Baker R. Seat belt injury masquerading as sexual abuse . Pediatrics . 1986;77:435. 21. Barton DJ, Sloan GM, Nichter LS, Reinisch JF. Hair-thread tourniquet syndrome . Pediatrics . 1988;82:925-928. 22. Woodling BA, Kossoris PD. Sexual misuse: rape, molestation and incest . Pediatr Clin North Am . 1981;28:481-499. 23. Putnam N, Stein M. Self-inflicted injuries in childhood: a review and diagnostic approach . Clin Pediatr . 1985;24:514-518.Crossref 24. Cowell CA. The gynecologic examination of infants, children and young adolescents . Pediatr Clin North Am . 1981;28:247-266. 25. Paul DM. 'What really did happen to baby Jane?' the medical aspects of the investigation of alleged sexual abuse of children . Med Sci Law . 1986;26:85-102. 26. Hey F, Buchan PC, Littlewood JM, Hall RI. Differential diagnosis in child sexual abuse . Lancet . 1987;1:283.Crossref 27. Vickers D, Morris K, Coulthard M, Eastham EJ. Anal signs in haemolytic uraemic syndrome . Lancet . 1988;1:998.Crossref 28. Hobbs CJ, Wynne JM. Sexual abuse of English boys and girls: the importance of the anal examination . Child Abuse Negl . 1989;13:195-210.Crossref 29. Clayden GS. Reflex anal dilation associated with severe chronic constipation in children . Arch Dis Child . 1988;63:832-836.Crossref 30. Zempsky WT, Rosenstein BJ. The cause of rectal prolapse in children . AJDC . 1988;142:338-339. 31. Spear RM, Rothbaum RJ, Keating JP, Blaufuss MC, Rosenblum JL. Perianal streptococcal cellulitis . J Pediatr . 1985;107:557-559.Crossref 32. Boyd M, Jordan SW. Unusual presentation of varicella suggestive of sexual abuse . AJDC . 1987;141:940. 33. Fleming KA, Venning V, Evans M. DNA typing of genital warts and diagnosis of sexual abuse in children . Lancet . 1987;2:454.Crossref 34. Roberts JW, Devine CJ. Urethral hemangioma: treatment by total excision and grafting . J Urol . 1983;129:1053-1054. 35. Lowe FC, Hill GS, Jeffs RD, Brendler CB. Urethral prolapse in children: insights into etiology and management . J Urol . 1986;135:100-103. 36. Krugman RD. Recognition of sexual abuse in children . Pediatr Rev . 1986;8:25-30.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1990

References