the case of a bruise on the side of the forehead, cheeks, or chin, even in at-risk infants. It is not uncommon for the truth (that they are really finger bruises) to be admitted after a Care Order has been obtained after more severe injury. In older children, by contrast, bruises, even those resembling finger tip bruises, are common and can be accepted as accidental, as shown by Keen' in his ca...

We assessed the effect of long-term treatment with inhaled budesonide (BUD) on the occurrence of posterior subcapsular cataracts (PSC), bruises and hoarseness in children with asthma. Slit lamp examinations were performed in 157 asthmatic children treated with inhaled BUD at a mean daily dose of 504 microg (range 189-1,322 microg) for 3-6 yrs (mean 4.4 yrs). Measurements were compared with 111 ...

This study pursues the detection of bruised areas caused by mechanical impact on Golden Delicious apples using chlorophyll fluorescence imagery. When a fruit is impacted by a mechanical force and a bruise occurs, the chlorophyll nuclei inside the peel are damaged, which causes a reduction in fluorescence excitation compared to non-impacted areas. This difference allows automated detection of br...

AIMS To investigate what patterns of bruising are diagnostic or suggestive of child abuse by means of a systematic review. METHODS All language literature search 1951-2004. Included: studies that defined patterns of bruising in non-abused or abused children <18 years. Excluded: personal practice, review articles, single case reports, inadequate confirmation of abuse. Two independent full text...

OBJECTIVE The extent that inherited bleeding disorders affect; number, size and location of bruises in young children <6 years. DESIGN Prospective, longitudinal, observational study. SETTING Community. PATIENTS 105 children with bleeding disorders, were compared with 328 without a bleeding disorder and classified by mobility: premobile (non-rolling/rolling over/sitting), early mobile (cra...

Paediatricians are often requested to give an opinion on the age of a non-accidental bruise. In forensic textbooks, the colour changes which a bruise undergoes with time are not based on research in children. The purpose of this study was to document the sequence of colour changes in photographs taken following accidental bruising in children. Fifty accidental bruises of known age in 23 childre...

The authors are to be congratulated for the systematic review ‘‘Are there patterns of bruising in childhood which are diagnostic or suggestive of abuse?’’. It is an extremely valuable piece of work, providing data for paediatricians working in the field of child protection. Results show that non-abusive bruises are generally small, sustained over bony prominences, and found on the front of the ...