Subconjunctival Hemorrhages in Infants and Children A Sign of Nonaccidental Trauma

被引：32

作者：

DeRidder, Catherine A. ^{[1
]}

Berkowitz, Carol D. ^{[1
]}

Hicks, Ralph A. ^{[2
,3
]}

Laskey, Antoinette L. ^{[2
,3
,4
]}

机构：

[1] Univ Calif Los Angeles, David Geffen Sch Med, Harbor UCLA Med Ctr, Div Gen & Emergency Pediat,Dept Pediat, Torrance, CA USA

[2] Univ Utah, Dept Pediat, Primary Childrens Hosp, Ctr Safe & Hlth Families, Salt Lake City, UT USA

[3] Indiana Univ Sch Med, Riley Hosp Children, Child Protect Programs, Indianapolis, IN USA

[4] Indiana Univ Sch Med, Riley Hosp Children, Childrens Hlth Serv Res, Indianapolis, IN USA

来源：

PEDIATRIC EMERGENCY CARE | 2013年 / 29卷 / 02期

关键词：

physical abuse; nonaccidental trauma; eye; MALTREATMENT; ABUSE; RISK;

D O I：

10.1097/PEC.0b013e318280d663

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Subconjunctival hemorrhages in infants and children can be a finding after nonaccidental trauma. We describe 14 children with subconjunctival hemorrhages on physical examination, who were subsequently diagnosed by a child protection team with physical abuse. Although infrequent, subconjunctival hemorrhage may be related to abuse. Nonaccidental trauma should be on the differential diagnosis of subconjunctival hemorrhage in children, and consultation with a child abuse pediatrics specialist should be considered.

引用

页码：222 / 226

页数：5

共 34 条

[1]

Agina Abd Allah A., 1999, Journal of the Egyptian Society of Parasitology, V29, P215

[2] Neuroblastoma with orbital metastasis: ophthalmic presentation and role of ophthalmologists [J].

Ahmed, S ;

Goel, S ;

Khandwala, M ;

Agrawal, A ;

Chang, B ;

Simmons, IG .

EYE, 2006, 20 (04) :466-470

[3] Ocular leech infestation in a child [J].

Alcelik, T ;

Cekic, O ;

Totan, Y .

AMERICAN JOURNAL OF OPHTHALMOLOGY, 1997, 124 (01) :110-112

[4] Herpes zoster ophthalmicus in an otherwise-healthy child [J].

Binder, NR ;

Holland, GN ;

Hosea, S ;

Silverberg, ML .

JOURNAL OF AAPOS, 2005, 9 (06) :597-598

[5] Permeabilization in a cerebral endothelial barrier model by pertussis toxin involves the PKC effector pathway and is abolished by elevated levels of cAMP [J].

Brückener, KE ;

el Bayâ, A ;

Galla, HJ ;

Schmidt, MA .

JOURNAL OF CELL SCIENCE, 2003, 116 (09) :1837-1846

[6] Kaposi's sarcoma of the ocular adnexa [J].

Brun, SC ;

Jakobiec, FA .

INTERNATIONAL OPHTHALMOLOGY CLINICS, 1997, 37 (04) :25-38

[7] Hemorrhagic viral keratoconjunctivitis in Taiwan caused by adenovirus types 19 and 37 - Applicability of polymerase chain reaction-restriction fragment length polymorphism in detecting adenovirus genotypes [J].

Chang, CH ;

Sheu, MM ;

Lin, KH ;

Chen, CW .

CORNEA, 2001, 20 (03) :295-300

[8] Subconjunctival haemorrhage and respiratory distress [J].

Chiu, CH ;

Chuang, YY ;

Su, LH .

LANCET, 2001, 358 (9283) :724-724

[9]

Choi David M., 2001, CLAO Journal, V27, P53

[10] Ocular autopsy and histopathologic features of child abuse [J].

Emerson, M. Vaughn ;

Jakobs, Elisabeth ;

Green, W. Richard .

OPHTHALMOLOGY, 2007, 114 (07) :1384-1394

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