Citation

Vabres N, Fleury J, Picherot G. Rev. Prat. 2011; 61(5): 653-656.

Vernacular Title

Reperage des signes cliniques evocateurs de maltraitance chez le petit enfant.

Affiliation

Unité d'accueil des enfants en danger, clinique médicale pédiatrique, HME-CHU, 44093 Nantes Cedex 1. Nathalie.vabres@chu-nantes.fr

Copyright

(Copyright © 2011, J B Bailliere et Fils)

DOI

unavailable

PMID

21698896

Abstract

It is difficult to diagnose child abuse. Any injury to a child should raise the essential question as to its plausibility. Any incompatibility between the nature of the lesion and the child's age, or the explanations given, should suggest intentional injury. The presence of a bruise on an infant too young to move about is a serious warning sign. Any fractures before the infant is able to walk should raise the suspicion of intentional injury. Regardless of the type of abuse noted for an infant, it must be hospitalized. Supplementary examinations, in association with a psychosocial evaluation, will enable exploration for other lesions and the elimination of differential diagnoses. This allows the child to be protected, while including the family in the treatment process.

Language: fr