MONGOLIAN SPOTS CAN MIMIC BODY INJURIES: CASE REPORT

Mongolian spots are congenital dermatological conditions often observed in the neonatal period resulting from the migration of melanocytes to the dermis during embryogenesis. They are bluish grey spots typically located in the lumbosacral region, which tend to regress in the first years of life. As skin lesions are frequent signs in infant maltreatment, Mongolian spots can be misinterpreted as ecchymoses, which would lead to a false diagnosis. This can culminate in serious and dramatic consequences for the patient and family, as well as overloading the public system. Therefore, it is essential that health professionals know how to differentiate Mongolian stains from injuries resulting from child abuse. This study aims to describe a case that was mistakenly attributed to mistreatment for the presence of Mongolian spots in atypical places.

SIMPLIFYING PSYCHIATRIC EXPERT EVALUATION IN LABOR CLAIMS: A PROPOSAL FOR SYSTEMATIZATION IN THE ANALYSIS OF CASUALITY

The psychiatric expertise in labor claims constitutes an extra challenge for the medical expert, since it presents a high degree of subjectivity. The present study proposes a methodology for sorting and systematizing expert elements, allowing for greater clarity in the arguments and basis of the conclusions.

Forensic medical expertise and civil law: recommendation of photographic techniques for medical expert evidence

This article analyses demands that must be met by technical-scientific photography as a part of the technical evidence in forensic medical expertise under civil law and suggests quality protocols.

SOCIAL SECURITY BENEFITS FOR PNEUMOCONIOSIS AND CYSTIC FIBROSIS IN THE YEAR 2019

Some pathologies generate the need for important social support. In Brazil, the federal constitution provides for social coverage and health care for the entire population. Social assistance, often made possible through social security benefits, can be provided by the National Institute of Social Service (INSS). Open data on these benefits with information on expanded data are available. We highlight here two groups of pathologies that have different profiles in Brazil, but which are often the subject of expert evaluation, due to their clinical characteristics and impact on patients' quality of life: Pneumoconiosis and Cystic Fibrosis. Objectives: to analyze benefits granted by the INSS in 2019 for Pneumoconiosis and Cystic Fibrosis. Methods: Open data were collected, with analysis in Excel® and SPSS, regarding gender, state, age, type of benefits and ICD 10. Results: 215 benefits were granted for Pneumoconiosis in 21 states, 45% were employed and 50% were granted as work-related. 121 benefits were granted for Cystic Fibrosis in the period. 10 states concentrate 83% of the benefits and 43% were granted to children up to 10 years of age and 9% to those over 51 years of age. Conclusions: Information from open social security data in Brazil can contribute to the regional expert analysis of pathologies characterized as incapacitating, in addition to contributing to the understanding of a change in the regional epidemiological profile of diseases, and enriching the structuring, more frequently providing epidemiological data to official bodies and the adoption of public policies.

VIOLÊNCIA POR PARCEIRO ÍNTIMO CONTRA A MULHER: ASPECTOS MÉDICO-LEGAIS

Violence against women is a grave and systematic human rights violation, with high incidence and prevalence worldwide. For this reason, a narrative review and a case report were conducted that seek to analyze intimate partner violence and, from that, to put the subject under discussion.