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Is perianal dermatitis a sign of sexual abuse?
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  1. Joanna Thomas1,
  2. Mary Rudolf2
  1. 1Staff Grade in Community Child Health, Leeds Community and Mental Health Trust, UK
  2. 2Consultant Paediatrician in Community Child Health, Leeds Community and Mental Health Trust, UK

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You have seen a toddler in clinic, and as a “by the way” on leaving, the mother tells you that the child has a very red bottom and cries on defaecation although she is not constipated. On examination you see …

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