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Recent skin injuries in normal children.

J Labbé1, G Caouette

  • 1Department of Pediatrics, Centre hospitalier de l'Université Laval, Québec, Canada. jean.labbe@ssss.gouv.qc.ca

Pediatrics
|August 3, 2001
PubMed
Summary

Most children over 9 months old have recent skin injuries, primarily bruises on limbs, increasing in summer. Unusual injury patterns in children may indicate underlying conditions or abuse.

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Area of Science:

  • Pediatrics
  • Dermatology
  • Forensic Medicine

Background:

  • Recent skin injuries are common in children and adolescents.
  • Understanding injury patterns can aid in identifying potential health issues or abuse.

Purpose of the Study:

  • To document recent skin injuries in children and adolescents.
  • To analyze the relationship between injury occurrence, age, and season.

Main Methods:

  • Systematic examination of the total body surface (excluding the anal-genital area) in 1467 children and adolescents.
  • Recording characteristics and locations of recent injuries (bruises, abrasions, scratches, etc.).
  • Statistical comparison using Fisher's exact test.

Main Results:

  • 76.6% of children aged 9 months and older had at least one recent skin injury.
  • Injuries were most common on lower limbs; bruises were the predominant type.
  • Skin injuries were more frequent in summer, with a higher proportion of abrasions.
  • Infants (0-8 months) had rare injuries, primarily scratches on the head/face, with no seasonal variation.

Conclusions:

  • The majority of children over 9 months have minor skin injuries, often bruises on limbs, with seasonal variations.
  • Physicians should consider underlying bleeding disorders or physical abuse in cases of unusual injury characteristics (e.g., uncommon locations, numerous injuries, injuries in infants).
  • Recognizing atypical injury patterns is crucial for early diagnosis and intervention.

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