As awareness of child abuse and neglect increases, children with medical causes for their presenting problems may, on occasion, be initially diagnosed as victims of suspected child abuse. Although a review of the Index Medicus from 1970 to 1978 revealed only two reports of this type of misdiagnosis,1,2 we suspect it occurs frequently. This report describes a child who initially was thought to be battered, but who, in fact, had a vasculitis unrelated to his social problems.
CASE REPORT
H.P., a 2½-year-old black boy, was seen at the Wyler Emergency Room with unexplained "swelling and bruising all over his body." He was accompanied by his father who appeared intoxicated and gave a changing and confusing history.