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首页> 外文期刊>Clinics in dermatology >Cutaneous sign of abuse: Kids are not just little people
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Cutaneous sign of abuse: Kids are not just little people

机译：虐待的皮肤迹象：孩子们不仅仅是小人物

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摘要

Abstract Skin injury is the most common form of child physical abuse. Although the pattern and visual appearance of skin injury and the treatment needed for the injury is similar in children and adults, characteristics of infant and childhood skin may complicate the diagnosis of injury. A good understanding of normal developmental presentation of accidental injury from infancy to adulthood, locations for injury that should trigger consideration of abuse, and cutaneous mimics of abuse across the lifespan are critical to the identification of suspected abuse. Adults and older children can provide a history directly to providers, though it should be noted that abused adults and children may not always disclose the true cause of their injuries. In infants and very young children, a history from the patient is lacking due to the verbal abilities of the child, and a parent or other caregiver may provide a false or misleading history that can complicate the diagnosis and treatment. The approach to taking the history, when abuse is suspected, is a critical part of the evaluation, and best practice will vary depending on whether your patient is a child or an adult.
机译：摘要皮肤损伤是最常见的儿童身体虐待形式。虽然皮肤损伤的模式和视觉外观和损伤所需的治疗类似，但儿童和成人相似，婴儿和儿童皮肤的特征可能使损伤的诊断复杂化。良好地了解临时血症意外伤害的正常发育介绍，应该引发滥用滥用的伤害的位置，以及在寿命中滥用的皮肤模仿对涉嫌滥用的识别至关重要。成年人和年龄较大的孩子可以直接向提供商提供历史，尽管应该指出的是，受虐待的成年人和儿童可能并不总是披露受伤的真正原因。在婴儿和非常幼儿中，由于孩子的言语能力，患者的历史缺乏，父母或其他护理人员可以提供假或误导性历史，这可以使诊断和治疗复杂化。采取历史的方法是怀疑滥用，是评估的关键部分，最佳实践将根据您的患者是否是儿童或成人而有所不同。

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