Fractures in Biliary Atresia Misinterpreted as Child Abuse-Reference-Cited by-同舟云学术

Fractures in Biliary Atresia Misinterpreted as Child Abuse

Published:2003-07-01 Issue:1 Volume:112 Page:185-188
ISSN:0031-4005
Container-title:Pediatrics
language:en
Short-container-title:

Author:

DeRusso Patricia A.¹,Spevak Melissa R.²,Schwarz Kathleen B.¹

Affiliation:

1. Department of Pediatrics  Division of Pediatric Gastroenterology and Nutrition  Johns Hopkins School of Medicine  Baltimore, MD 21287

2. Division of Pediatric Imaging  Russell H. Morgan Department of Radiology and Radiological Science  Johns Hopkins Hospital  Johns Hopkins University  Baltimore, MD 21287

Abstract

Bone fractures in children without a history of injury are highly suspicious for child abuse. Biliary atresia is a disorder associated with metabolic bone disease, and there are numerous reports of osteopenia, rickets, and/or fractures in this population. We report 3 cases of children with biliary atresia who had bony fractures as well as osteopenia whose caretakers were investigated for child abuse. Pediatricians should be aware of an increased incidence of fractures and overall prevalence of bone disease in this population.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Link

https://publications.aap.org/pediatrics/article-pdf/112/1/185/1002651/pe0703000185.pdf

Reference16 articles.

1. Thomas SA, Rosenfield NS, Leventhal JM, Markowitz RI. Long-bone fractures in young children: distinguishing accidental injuries from child abuse. Pediatrics.1991;88:471–476

2. Skellern CY, Wood DO, Murphy A, Crawford M. Non-accidental fractures in infants: risk of further abuse. J Paediatr Child Health.2000;36:590–592

3. American Academy of Pediatrics, Section on Radiology. Diagnostic imaging of child abuse. Pediatric.2000;105:1345–1348

4. Chongsrisawat V, Ruttanamongkol P, Chaiwatanarat T, Chandrakamol B, Poovorawan Y. Bone density and 25-hydroxyvitamin D level in extrahepatic biliary atresia. Pediatr Surg Int.2001;17:604–608

5. Katayama H, Suruga K, Kurashige T, Kimoto T. Bone changes in congenital biliary atresia. Radiologic observation of 8 cases. Am J Roentgenol Radium Ther Nucl Med.1975;124:107–112

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