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Images in paediatrics
Urticaria pigmentosa masquerading as non-accidental injury
  1. Neelmanee Ramphul1,
  2. Sushama Harikrishnan1,
  3. Chidambara Harikumar1,
  4. Andrew J Carmichael2
  1. 1Department of Paediatrics, University Hospital of North Tees and Hartlepool, Stockton on Tees, Hartlepool, UK
  2. 2Department of Dermatology, South Tees NHS Foundation Trust, Middlesbrough, UK
  1. Correspondence to Dr Neelmanee Ramphul, Paediatrics, University Hospital of North Tees and Hartlepool, Holdforth Road, Hartlepool TS 24 9AH, UK; n.ramphul{at}

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A 2-year-old girl was referred by an anonymous caller suspecting multiple bruises due to child abuse. Her parents reported that most of the pigmented areas had developed shortly after birth, with some recent bruising following a fall. Examination showed bruises over her right scapula and right lateral buttock consistent with a fall from her bike (figure 1). Diffuse …

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  • Contributors All authors contributed to writing the manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.