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Bruising in preschool children with special needs
  1. C Barton,
  2. F Finlay
  1. 1Child Health Department, Bath NHS House, Newbridge Hill, Bath BA1 3QE, UK;

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The authors are to be congratulated for the systematic review “Are there patterns of bruising in childhood which are diagnostic or suggestive of abuse?”.1 It is an extremely valuable piece of work, providing data for paediatricians working in the field of child protection.

Results show that non-abusive bruises are generally small, sustained over bony prominences, and found on the front of the body. Abusive bruises are away from bony prominences, and the commonest site is the head and neck (particularly face), followed by buttocks, trunk, and …

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  • Competing interests: none declared