Mongolian spots as a finding in forensic examinations of possible child abuse-implications for case work.
Child abuse
Forensic examination
MS
Mongolian spot
Nevus of Ito
Nevus of Ota
Journal
International journal of legal medicine
ISSN: 1437-1596
Titre abrégé: Int J Legal Med
Pays: Germany
ID NLM: 9101456
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
27
03
2019
accepted:
08
11
2019
pubmed:
14
3
2020
medline:
4
2
2021
entrez:
14
3
2020
Statut:
ppublish
Résumé
Mongolian spots (MS) are congenital dermal conditions resulting from neural crest-derived melanocytes migration to the skin during embryogenesis. MS incidences are highly variable in different populations. Morphologically, MS present as hyperpigmented maculae of varying size and form, ranging from round spots of 1 cm in diameter to extensive discolorations covering predominantly the lower back and buttocks. Due to their coloring, which is also dependent on the skin type, MS may mimic hematoma thus posing a challenge on the physician conducting examinations of children in cases of suspected child abuse. In the present study, MS incidences and distribution, as well as skin types, were documented in a collective of 253 children examined on the basis of suspected child abuse. From these data, a classification scheme was derived to document MS and to help identify cases with a need for recurrent examination for unambiguous interpretation of initial findings alongside the main decisive factors for re-examination such as general circumstances of the initial examination (e. g., experience of the examiner, lighting conditions) and given dermatological conditions of the patient (e. g., diaper rash).
Identifiants
pubmed: 32166386
doi: 10.1007/s00414-019-02208-9
pii: 10.1007/s00414-019-02208-9
pmc: PMC7181436
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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