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首页> 外文会议>International Academy of Legal Medicine., Congress >Age estimation in an adoptive girl with precocious puberty
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Age estimation in an adoptive girl with precocious puberty

机译：养成青春期的养羊女的年龄估计

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Age estimation is one of the main tasks of forensic anthropology and odontology, both on the dead andthe living. In living subjects, age estimation may be used to establish an individual’s status as a minor in casesinvolving adoption, criminal responsibility, child pornography, and those seeking asylum, especially whereadequate identification documents are lacking.The Authors report a case about age assessment of a girl born in Mbujimayi (Democratic Republic ofCongo) and later adopted in Italy. The birth certificate issued after finding the child in a state of abandonment (inDecember 2007), bore date of 12.12.2004, but this was in contrast with the year of birth - 2003 - stated on thecertification available to the center that had provided accommodation to the girl in Africa.Her adoptive parents reported that the child had been diagnosed with precocious puberty and was thus undertreatment. She weighed 32.5 kg and was 132.5 cm tall. Basing on height and weight, body mass index (BMI)corresponded to the range between 9.5 and 14 years of age.The assessment of maturity indicators (sexual characteristics) placed the child at the lower limits of Stage IIof Tanner’s classification (sparse growth of long, slightly darkened, downy straight pubic hair; elevation of the breastand nipple as a small mound with increased diameter of the areolae).The skeletal age was determined by taking X-Rays of the hand and wrist using Fels, TW2 (Tanner-Whitehouse) and Greulich and Pyle methods. Dental growth was assessed through orthopantomogram usingDemirjian’s technique. The methods applied were adjusted considering the studies on African population foundin the literature, and a skeletal and dental age of 10 years was established.Afterwards, the wrist X-Rays performed at the Children’s Hospital of Bari, 7 months before ourinvestigation, revealed a skeletal age of 7 years. This evidence showed that, despite the treatment the child hadpromptly initiated, early puberty had influenced the skeletal growth with an acceleration of about 2 years.Therefore, the age we detected (10 years) was the result of precocious puberty. Then, we backdated the girl’sbirth (by about 2 years, based on current studies), stating that she was about 8 at the time of our investigation.This case is significant both for the racial differences that need to be considered in age assessment, and forthe importance of any pathology (growth disorders) that may affect physiological development and make the appliedmethods poorly reliable.
机译：年龄估计是法医人类学和神话学的主要任务之一，都在死亡和生活中。在生活科目中，年龄估计可用于将个人的身份作为一个未成年人在潜伏的采用，刑事责任，儿童色情制品和寻求庇护的人中建立，特别是缺乏人为的识别文件。提交人报告了一个女孩的年龄评估案例出生于MBujimayi（奥联州民主共和国），后来在意大利采用。在遗弃状态（2007年）的儿童找到儿童后发出的出生证明，12.12.2004年的钻孔日期，但与出生年度相比 - 2003年 - 在为住宿提供住宿的中心提供的Checontification。非洲的女孩。收养的父母报道，孩子被诊断出患有早熟的青春期，因此是疾病。她体重32.5千克，高132.5厘米。基于高度和体重，体重指数（BMI）对应于9.5至14岁之间的范围。到期规定计（性特征）的评估将该儿童放在IIF阶段的分类阶段下限（稀疏的长期增长，略微变暗，柔软的直耻的头发;乳腺乳头抬起，作为稻草直径增加的小土墩）。通过使用FELS，TW2（Tanner-Whitehouse）使用手腕的X射线来确定骨骼时代。和Greulich和Pyle方法。通过使用Demirjian的技术来评估牙科生长。考虑到申请的方法，考虑到非洲人口的研究发现文献中的研究，建立了10年的骨骼和牙齿年龄。在乌斯汀投票前7个月的儿童医院，腕子X射线举行，揭示了骨骼7岁的年龄。这一证据表明，尽管孩子hadpromptly发起的治疗，性早熟影响了约2 years.Therefore的加速骨骼生长，我们检测到的年龄（10岁）是性早熟的结果。然后，我们赞成这个女孩的生动（基于当前研究约2年），在我们调查时表示她大约8岁。这一情况对于需要在年龄评估时需要考虑的种族差异是重要的，以及可能影响生理发展的病理学（生长障碍）的重要性，并使应用方法可靠可靠。

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