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Critical Situations |

Scald Abuse

Erik Stratman, MD; John Melski, MD
Arch Dermatol. 2002;138(3):318-320. doi:10.1001/archderm.138.3.318.
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Montrey  JSBarcia  PJ Nonaccidental burns in child abuse. South Med J. 1985;781324- 1326
Raimer  BGRaimer  SSHebeler  JR Cutaneous signs of child abuse. J Am Acad Dermatol. 1981;5203- 214
Purdue  GFHunt  JLPrescott  PR Child abuse by burning: an index of suspicion. J Trauma. 1988;28221- 224
Hobbs  CJ ABC of child abuse: burns and scalds. BMJ. 1989;2981302- 1305
Renz  BMSherman  R Abusive scald burns in infants and children: a prospective study. Am Surg. 1993;59329- 334
Hobbs  CJ When are burns not accidental? Arch Dis Child. 1986;61357- 361
Lenoski  EFHunter  KA Specific patterns of inflicted burn injuries. J Trauma. 1977;17842- 846
Hobbs  CJWynne  JM Patterns of scald injuries [letter]. Arch Dis Child. 1994;71559
Yeoh  CNixon  JWDickson  WKemp  ASibert  JR Patterns of scald injuries. Arch Dis Child. 1994;71186- 188
Stone  NHRinaldo  LHumphrey  CRBrown  RH Child abuse by burning. Surg Clin North Am. 1970;501419- 1424
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Figures

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Figure 1.

Large serous bullae of the buttocks and perineum with surrounding erythema. The arrow indicates the gluteal cleft tide mark.

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Figure 2.

When a child is forcibly submersed (A), if held in a flexed position, the flexural skin creases will be spared, resulting in the "zebra stripe" scald pattern (B). If the child is pushed against the bottom of the cooler container during scalding, the "doughnut hole" scald pattern may result (C).

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