Differential Identification of Three Young Housefire Victims: Methods when Age Assessment Fails.

Multiple fatality incidents involving more than one child of statistically same age (including twins) can be challenging from an identification standpoint. This case details an urban fire, in which four children perished. Age assessment on three of the victims utilizing maturity staging described by Moorrees, Fanning, and Hunt yielded insignificant results. However, a plot of the MFH data shows the difference between two identical twins and a third child. The twins share a similar growth pattern, whereas the other was different. Based on this graphical interpretation, the nontwin victim was positively identified through exclusion. These results were verified through statistical testing. This case demonstrates a method to repurpose age assessment data to graphically distinguish between child victims. Further, it is shown that radiographic and clinical presentation in childhood identical twins can elicit genetic versus acquired similarities and differences, which can be used for identification of individuals and exclusion of others.