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Endogenous skin disorders

The following is a summary of the systematic review findings up to the date of our most recent literature search. If you have a specific clinical case, we strongly recommend you read all of the relevant references as cited and look for additional material published outside our search dates.

 

Eczema 1

  • Sustained non-abusive friction burn and presented to burns unit 
  • Noted to have punctate lesions and linear abrasions over the torso and extremities, thought to be cigarette burns and abuse 
  • Poor social history 
  • Confirmed eczema

Characteristics:

  • No deep craters; irregular margins; sparing of palms and soles of feet

 

Congenital insensitivity to pain 3

  • Leading to repeated burns to hands and mouth 
  • History led to diagnosis

 

Congenital curvilinear palpable hyperpigmentation 4

  • Occuring spontaneously from one month after birth; appearing as loops with curved centre in a superior position on the calf
  • Both palpable.  Symmetrical to both legs; one case had associated developmental delay

 

Vulvar hemangioma 2

  • A perineal lesion in a five week old thought to be a burn was later diagnosed as an ulcerated capillary hemangioma

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References

  1. Heider TR, Priolo D, Hultman CS, Peck MD, Cairns BA. Eczema mimicking child abuse: a case of mistaken identity. Journal of Burn Care & Rehabilitation. 2002;23(5):357-359 [Pubmed]
  2. Levin AV, Selbst SM. Vulvar hemangioma simulating child abuse. Clinical Paediatrics. 1988;27(4):213-215 [Pubmed]
  3. Spencer JA, Grieve DK. Congenital indifference to pain mistaken for non-accidental injury. The British Journal of Radiology. 1990;63(748):308-310 [Pubmed citation only]
  4. Zhu YI, Fitzpatrick JE, Weston WL. Congenital curvilinear palpable hyperpigmentation. Journal of the American Academy of Dermatology. 2005;53(2):S162-S164 [Pubmed]

 

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