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Images in paediatrics
Target-shaped edematous purple lesions: is it child abuse?
  1. Renata Robl1,
  2. Marcela Robl2,
  3. Leide Parolin Marinoni3,
  4. Kerstin Taniguchi Abagge3,
  5. Vânia Oliveira Carvalho3
  1. 1 Division of Pediatric Dermatology, Dermatology at Federal University of Paraná, Hospital de Clínicas da UFPR, Curitiba, Paraná, Brazil
  2. 2 Department of Pediatric, Federal University of Paraná, Curitiba, Paraná, Brazil
  3. 3 Division of Pediatric Dermatology, Department of Pediatrics, Federal University of Paraná, Hospital de Clínicas da UFPR, Curitiba, Paraná, Brazil
  1. Correspondence to Dr Renata Robl, Rua Cruz e Souza, 68 Guabirotuba, Curitiba, Paraná, CEP 81510160, Brazil; natarobl{at}

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A 5-month-old girl was admitted to the paediatric emergency with a 2 days history of bilateral infiltrated tender purpuric lesions on cheeks, arms and legs, with associated edema. Her mother did not know of any associated symptoms. The possibility of child abuse was considered, all laboratory tests were normal (urinalysis, blood count, renal and coagulation studies) and the Child Abuse Protection Agency was called. On the fifth day of …

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  • Contributors The authors RR, MR, LPM, KTA and VOC participated in the project and contributed to the conception and design of the article, data collection, manuscript writing and critical review about the intellectual content.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval Comite de Ética do Hospital de Clínicas do Paraná.

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