Stun Gun Injury: A New Presentation of the Battered Child Syndrome

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 898-901
Author(s):  
Alan Frechette ◽  
Mary Ellen Rimsza
Keyword(s):  
Child Abuse ◽  
Skin Lesions ◽  
Battered Child Syndrome ◽  
Battered Child ◽  
Child Syndrome ◽  
Protection Devices ◽  
Self Protection ◽  
Stun Gun

Stun guns are self-protection devices that are increasingly available with few restrictions on their use and sale. We present a case of child abuse with a stun gun. The signs of such abuse are often subtle, and they may be underrecognized currently. The skin lesions that are often seen are hypopigmented circular macules, measuring approximately 0.5 cm in diameter. They may be raised slightly and erythematous if inflicted recently. Most characteristic of stun gun assault is pairing of lesions approximately 5 cm apart. We discuss the design, operation, and effects of stun guns, and give an extensive differential of abusive and nonabusive circular lesions.

Child Abuse Control Centers: A Project for the Academy?

PEDIATRICS ◽  
1970 ◽  
Vol 45 (5) ◽  
pp. 894-895
Author(s):  
Jacob Brem
Keyword(s):  
Child Abuse ◽  
Good Deal ◽  
Battered Child Syndrome ◽  
Battered Child ◽  
Child Syndrome ◽  
Grass Root ◽  
Grass Root Level ◽  
Social Agencies

A good deal of literature on child abuse has accumulated since Kempe and his group first described the "Battered Child Syndrome."1 Enlightened laws have been passed in the various states and management transferred from the police into the hands of social agencies. Furthermore, the reporting physician was protected from libel. However, at the grass root level, conditions are far from ideal. Physicians are unfamiliar with the various laws and are reluctant to report for fear of getting involved in unpleasant situations.

When to Obtain Roentgenograms in Suspected Child Abuse

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 330-330
Author(s):  
Rowland L. Mindlin ◽  
William M. Palmer
Keyword(s):  
Child Abuse ◽  
Preschool Child ◽  
Pediatric Radiologist ◽  
Battered Child Syndrome ◽  
Physically Abused ◽  
Battered Child ◽  
Child Syndrome

The Committee on Infant and Preschool Child and its Subcommittee on Child Abuse have received a number of requests for recommendations on the roentgenograms that should be taken routinely on a child suspected of being physically abused. We have consulted, among others, Frederic N. Silverman, M.D., a pediatric radiologist and a co-author with C. Henry Kempe, M.D., of the landmark article1 in which the term "battered child syndrome" was coined. We would like to bring Dr. Silverman's clear and reasoned response to the attention of all pediatricians, indeed to all physicians encountering children who may have been abused.

Child Abuse: Parenteral Hydrocarbon Administration

PEDIATRICS ◽  
1984 ◽  
Vol 73 (5) ◽  
pp. 719-722
Author(s):  
FRANK T. SAULSBURY ◽  
MICHAEL C. CHOBANIAN ◽  
WILLIAM G. WILSON
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Emotional Abuse ◽  
Original Description ◽  
Battered Child Syndrome ◽  
Distinct Subgroup ◽  
Battered Child ◽  
Abuse And Neglect ◽  
Child Syndrome ◽  
Original Report

The recognized spectrum of child abuse and neglect has expanded enormously since the original description of the battered child syndrome by Kempe et al, in 1962.1 In addition to physical abuse, we now realize that sexual abuse and nutritional neglect, as well as emotional abuse and neglect of children are problems of considerable magnitude. Another form of child abuse reported with increasing frequency is the intentional poisoning of children. Although this form of child abuse was mentioned by Kempe et al1 in their original report, it has only recently received more recognization and attention. Because of several unique characteristics, some authors2-4 favor considering intentional poisoning as a distinct subgroup of child abuse.

COMMITTEE ON INFANT AND PRE-SCHOOL CHILD

PEDIATRICS ◽  
1966 ◽  
Vol 37 (2) ◽  
pp. 377-382
Author(s):  
Keyword(s):  
Child Abuse ◽  
Emotional Abuse ◽  
Panel Discussion ◽  
Multiple Injuries ◽  
Physical Assault ◽  
Battered Child Syndrome ◽  
Multiple Fractures ◽  
X Ray ◽  
Battered Child ◽  
Child Syndrome

MALTREATMENT OF CHILDREN, or child abuse, takes many forms. It may be serious gross neglect of the child's welfare to the point of starvation, cruelty resulting in emotional damage to the child, or physical assault by a parent, older sibling, or person charged with the care of the child, as described in the term "battered child syndrome." We do not know the actual number of maltreated children, nor their subdivision into physical and emotional abuse. It is likely that the battered child is the least frequent yet currently the most discussed. This paper will concern itself primarily with the physically abused child. Recently, the problem of maltreatment of children has received much attention. Perhaps part of the recent public interest in this problem has resulted from the dramatic phrase "battered child syndrome," which was first used by Kempe, et al. during a panel discussion at an annual meeting of the American Academy of Pediatrics. But long before the phrase was coined, interest in the problem of multiple injuries had begun. About 20 years ago Caffey described x-ray findings of multiple fractures in the long bones, and a diagnostic tool was developed. Since then the child with multiple injuries indicating new or recent injuries superimposed on old has come under increasing scrutiny, especially in the last three or four years. Later studies by hospital pediatric and x-ray departments added to the earlier reports of "skeletal trauma in infants" which, in turn, have alerted pediatricians, roentgenologists, and other physicians to the possibility of child abuse.

Battered child syndrome mimicking acute appendicitis

2011 ◽  
Vol 152 (12) ◽  
pp. 485-488
Author(s):  
Zoltán Papp
Keyword(s):  
Child Abuse ◽  
Small Bowel ◽  
Acute Appendicitis ◽  
Abdominal Cavity ◽  
Battered Child Syndrome ◽  
Battered Child ◽  
Child Syndrome ◽  
Life Threatening ◽  
False Diagnosis ◽  
Intraabdominal Injuries

The paper presents the case of a 15-year-old child suffering from battered child syndrome, who was operated on with the presumed diagnosis of acute appendicitis. On the course of the operation the injury and hematoma of the mesentery of the small bowel was discovered, along with retroperitoneal hematoma and blood in the abdominal cavity. Consecutive investigation revealed a child abuse lasting for at least 3 years. Lessons of the case were the misleading symptoms of the serious intraabdominal injuries, caused by life-threatening maltreatment of the child, which eventually led to the false diagnosis of appendicitis. The case has a moral message towards society as well: we need to pay attention on the surrounding world and act against aggression. Orv. Hetil., 2011, 152, 485–488.

Recognizing the Identifiers of Child Abuse as a Syndrome

PEDIATRICS ◽  
1992 ◽  
Vol 90 (2) ◽  
pp. 282-282
Author(s):  
FRANCESCO RENZULLI ◽  
ETTORE CARDI
Keyword(s):  
Child Abuse ◽  
Mental Retardation ◽  
Battered Child Syndrome ◽  
Battered Child ◽  
Physical Injuries ◽  
Thirtieth Anniversary ◽  
Traumatic Lesions ◽  
Child Syndrome

To the Editor.— This July marked the thirtieth anniversary of the well-known paper by Kempe et al,1 "The Battered Child Syndrome," which described two infants with traumatic lesions, malnutrition, and poor hygiene. We wish to draw attention to the fact that, simultaneously, in 1962, Rezza and De Caro,2 two Italian pediatricians, reported the case of an infant with inflicted physical injuries and malnutrition. Furthermore, the authors found that the infant had marked mental retardation, which regressed to a great extent in the course of a lengthy hospitalization.

scholarly journals The Diagnosis of Child Sexual Abuse

1987 ◽  
Vol 11 (9) ◽  
pp. 295-299
Author(s):  
Arnon Bentovim
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Sexually Abused ◽  
International Association ◽  
Battered Child Syndrome ◽  
Abused Children ◽  
Battered Child ◽  
Abuse And Neglect ◽  
Child Syndrome ◽  
Sexually Abused Children

Kempe, in an address to the International Association for Child Abuse and Neglect in 1979, drew the professional communities' attention to ‘the serious plight of sexually abused children’. He described this as the final stage in the communities' recognition of patterns of child abuse. This cycle had commenced with his recognition of ‘The Battered Child Syndrome’ in the early 60s.

MALTREATMENT OF CHILDREN THE BATTERED CHILD SYNDROME

PEDIATRICS ◽  
1972 ◽  
Vol 50 (1) ◽  
pp. 160-162
Author(s):  
William B. Forsyth ◽  
John E. Allen ◽  
Joseph W. Brinkley ◽  
Alice D. Chenoweth ◽  
Gertrude Hunter ◽  
...  
Keyword(s):  
Child Abuse ◽  
Juvenile Court ◽  
Historical Review ◽  
Battered Child Syndrome ◽  
Battered Child ◽  
The Status ◽  
Child Syndrome ◽  
Proven Case ◽  
Definition Of ◽  
Reporting Mechanism

In February 1966, the Committee on Infant and Preschool Child published a statement concerning the status of the problem of the battered child. The present Committee has reevaluated the statement in light of increased knowledge and experience over the past 6 years. The 1966 statement concerned itself primarily with two issues: (1) a historical review and definition of the battered child syndrome, and (2) discussion and recommendations concerning identification and protection of the abused child. While a great deal of study and activity has taken place with regard to the problem of the battered child and there have been some positive results (e.g., every state in the union now has some form of reporting mechanism of the suspected or proven case of child abuse), the consensus of the Committee and its consultants is that the total problem has become magnified and is uncontrolled by present methods of management. The Committee reaffirms and supports the following recommendations of the 1966 report: 1. Physicians should continue to be required to report suspected instances of child abuse immediately to the agency legally charged with the responsibility of investigating child abuse, preferably the county or state department of welfare or health or its local representatives, or to the nearest law enforcement agency. 2. The responsible agency must have ample personnel and resources to take action immediately on receipt of the report. 3. Reported cases should be evaluated promptly, and appropriate service should be provided for the child and family. 4. The child should be protected by the agency by continued hospitalization, supervision at home, or removal from home through family or juvenile court action.

Pediatric Understanding of Child Abuse and Neglect

1981 ◽  
Vol 2 (7) ◽  
pp. 197-207
Author(s):  
Stephen Bittner ◽  
Eli H. Newberger
Keyword(s):  
Child Abuse ◽  
Family Violence ◽  
Current Knowledge ◽  
Medical Community ◽  
Battered Child Syndrome ◽  
Battered Child ◽  
Abuse And Neglect ◽  
Child Syndrome ◽  
History Of ◽  
Physical Neglect

When C. Henry Kempe and his colleagues coined the term "battered child syndrome" in 1961, the attention of the American medical community was focused on one of the most dramatic manifestations of family violence. Since then family violence has been perceived as a major social problem, and the eyes of pediatricians have been opened to familial causes of morbidity and mortality. In this paper the term "child abuse" is used to encompass all the symptom indicators of maltreatment of children, including physical injury, physical neglect, sexual abuse, and some ingestions of harmful substances. We address these problems not as discrete illness entities or syndromes, but as symptoms of different issues and risks for particular children in individual families. Kempe noted that notwithstanding a long history of concern with child welfare, the pediatric community ignored the implications of injury and neglect of children because of a "process of denial that was unequal to anything ... previously seen in pediatrics." This denial continues today in spite of an increasing and visible literature on child abuse. The task of this paper is to summarize current knowledge about the causes, differential diagnoses, and management of child abuse in a fashion accessible to pediatricians and members of the colleague disciplines.

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