Abstract
One hundred and ninety five children aged up to 6 years with burns and scalds (30 non-accidental and 165 accidental) were studied retrospectively. The history, presentation, and other typical injuries assisted the diagnosis of abuse. Scalds accounted for 81% of accidents and 25% of the cases of abuse, and burns for 17% and 44%, respectively. Scalds usually followed spillage from kitchen containers in accidents and forced tap water immersion in cases of abuse. Burns in cases of both accidents and abuse resulted from contact with a wide range of household appliances, including room heaters. Attention is drawn to the back of the hand as an important site in cases of abuse, as well as the legs, buttocks, and feet. It is speculated that the low level of reporting of this form of child abuse reflects failure of diagnosis.
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- Hight D. W., Bakalar H. R., Lloyd J. R. Inflicted burns in children. Recognition and treatment. JAMA. 1979 Aug 10;242(6):517–520. [PubMed] [Google Scholar]
- Keen J. H., Lendrum J., Wolman B. Inflicted burns and scalds in children. Br Med J. 1975 Nov 1;4(5991):268–269. doi: 10.1136/bmj.4.5991.268. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lenoski E. F., Hunter K. A. Specific patterns of inflicted burn injuries. J Trauma. 1977 Nov;17(11):842–846. doi: 10.1097/00005373-197711000-00004. [DOI] [PubMed] [Google Scholar]
- Martin H. L. Antecedents of burns and scalds in children. Br J Med Psychol. 1970 Mar;43(1):39–47. doi: 10.1111/j.2044-8341.1970.tb02100.x. [DOI] [PubMed] [Google Scholar]
- Raine P. A., Azmy A. A review of thermal injuries in young children. J Pediatr Surg. 1983 Feb;18(1):21–26. doi: 10.1016/s0022-3468(83)80266-8. [DOI] [PubMed] [Google Scholar]
- Smith S. M., Hanson R. 134 battered children: a medical and psychological study. Br Med J. 1974 Sep 14;3(5932):666–670. doi: 10.1136/bmj.3.5932.666. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stone N. H., Rinaldo L., Humphrey C. R., Brown R. H. Child abuse by burning. Surg Clin North Am. 1970 Dec;50(6):1419–1424. doi: 10.1016/s0039-6109(16)39298-2. [DOI] [PubMed] [Google Scholar]