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Sudden death due to adrenal neuroblastoma: child abuse mimic?
1Indiana University School of Medicine, Indianapolis, IN, USA.
Insights
Undiagnosed neuroblastoma, a common childhood cancer, can mimic child abuse symptoms, leading to misdiagnosis. This case highlights the importance of considering rare diseases in sudden deaths to ensure accurate forensic pathology findings.
Area of Science:
- Pediatric Oncology
- Forensic Pathology
- Pediatric Malignancies
Background:
- Neuroblastoma is a frequent pediatric malignancy with diverse clinical presentations.
- Symptoms can be mistaken for non-accidental trauma or child abuse.
- Forensic pathologists must recognize medical conditions that can mimic abuse.
Abstract:
Neuroblastoma is one of the most common malignancies in children. It is a tumor that can clinically present with varied symptoms that can mimic other entities, including child abuse. It is important that forensic pathologists are aware of the diseases that can masquerade as child abuse. A case of sudden, unexpected death in a 2-year-old due to previously undiagnosed neuroblastoma is presented. At initial presentation of the child in the emergency department, child abuse was considered as a possible explanation for the sudden demise. Death occurred before a full clinical workup could be completed and an autopsy was performed which unveiled the cause of death.
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