Differential Diagnosis between Child Abuse and Infantile Cortical Hyperostosis: A Case Report and Literature Review

Child abuse is a major public health problem that can lead to critical consequences for the child and family. However, early identification of abuse may be difficult. An 8-month-old boy presented with extensive periosteal reaction in both upper and lower long bones. There was no specific history of...

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Autores principales: Du-Yeon Lee, Woo-Jong Kim, Byungsung Kim, Jae-Hwi Nho, Chang-Hwa Hong, Sang-Mi Lee, Ik-Dong Yoo, Changeui Lee, Ki-Jin Jung
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/cfc99bc7241543f7b77fb47a4cc597d8
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spelling oai:doaj.org-article:cfc99bc7241543f7b77fb47a4cc597d82021-11-25T17:52:37ZDifferential Diagnosis between Child Abuse and Infantile Cortical Hyperostosis: A Case Report and Literature Review10.3390/ijerph1822122691660-46011661-7827https://doaj.org/article/cfc99bc7241543f7b77fb47a4cc597d82021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12269https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Child abuse is a major public health problem that can lead to critical consequences for the child and family. However, early identification of abuse may be difficult. An 8-month-old boy presented with extensive periosteal reaction in both upper and lower long bones. There was no specific history of injury. Caffey disease was initially considered as the diagnosis because the patient displayed fever and hyperostosis of multiple bones with elevated erythrocyte sedimentation rates and C-reactive protein and alkaline phosphatase levels. However, we suspected child abuse based on the clinical and radiological features. We eventually found out that the child had been injured through child abuse and were able to treat him. We report this case because child abuse cases may be confused with Caffey disease. This case report can, therefore, help distinguish between Caffey disease and child abuse.Du-Yeon LeeWoo-Jong KimByungsung KimJae-Hwi NhoChang-Hwa HongSang-Mi LeeIk-Dong YooChangeui LeeKi-Jin JungMDPI AGarticlechild abusehyperostosiscorticalcongenitalMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12269, p 12269 (2021)
institution DOAJ
collection DOAJ
language EN
topic child abuse
hyperostosis
cortical
congenital
Medicine
R
spellingShingle child abuse
hyperostosis
cortical
congenital
Medicine
R
Du-Yeon Lee
Woo-Jong Kim
Byungsung Kim
Jae-Hwi Nho
Chang-Hwa Hong
Sang-Mi Lee
Ik-Dong Yoo
Changeui Lee
Ki-Jin Jung
Differential Diagnosis between Child Abuse and Infantile Cortical Hyperostosis: A Case Report and Literature Review
description Child abuse is a major public health problem that can lead to critical consequences for the child and family. However, early identification of abuse may be difficult. An 8-month-old boy presented with extensive periosteal reaction in both upper and lower long bones. There was no specific history of injury. Caffey disease was initially considered as the diagnosis because the patient displayed fever and hyperostosis of multiple bones with elevated erythrocyte sedimentation rates and C-reactive protein and alkaline phosphatase levels. However, we suspected child abuse based on the clinical and radiological features. We eventually found out that the child had been injured through child abuse and were able to treat him. We report this case because child abuse cases may be confused with Caffey disease. This case report can, therefore, help distinguish between Caffey disease and child abuse.
format article
author Du-Yeon Lee
Woo-Jong Kim
Byungsung Kim
Jae-Hwi Nho
Chang-Hwa Hong
Sang-Mi Lee
Ik-Dong Yoo
Changeui Lee
Ki-Jin Jung
author_facet Du-Yeon Lee
Woo-Jong Kim
Byungsung Kim
Jae-Hwi Nho
Chang-Hwa Hong
Sang-Mi Lee
Ik-Dong Yoo
Changeui Lee
Ki-Jin Jung
author_sort Du-Yeon Lee
title Differential Diagnosis between Child Abuse and Infantile Cortical Hyperostosis: A Case Report and Literature Review
title_short Differential Diagnosis between Child Abuse and Infantile Cortical Hyperostosis: A Case Report and Literature Review
title_full Differential Diagnosis between Child Abuse and Infantile Cortical Hyperostosis: A Case Report and Literature Review
title_fullStr Differential Diagnosis between Child Abuse and Infantile Cortical Hyperostosis: A Case Report and Literature Review
title_full_unstemmed Differential Diagnosis between Child Abuse and Infantile Cortical Hyperostosis: A Case Report and Literature Review
title_sort differential diagnosis between child abuse and infantile cortical hyperostosis: a case report and literature review
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/cfc99bc7241543f7b77fb47a4cc597d8
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AT woojongkim differentialdiagnosisbetweenchildabuseandinfantilecorticalhyperostosisacasereportandliteraturereview
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