RT Journal Article SR Electronic T1 Anal abnormalities in childhood myotonic dystrophy--a possible source of confusion in child sexual abuse. JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 527 OP 528 DO 10.1136/adc.67.4.527 VO 67 IS 4 A1 W Reardon A1 H E Hughes A1 S H Green A1 V Lloyd Woolley A1 P S Harper YR 1992 UL http://adc.bmj.com/content/67/4/527.abstract AB Myopathic involvement of the perianal musculature is one of the less well recognised features of myotonic dystrophy in children and may present with physical signs suggestive of sexual abuse. Details of six children with myotonic dystrophy are presented to emphasise the importance of considering an underlying myopathic condition in the differential diagnosis of anal laxity.