AI Article Synopsis

  • - The assessment of skin changes for potential child abuse is crucial in forensic medicine, emphasizing the need for understanding skin pigmentation variations and disorders, like Mongolian spots.
  • - The article reports a unique case of two Nigerian siblings with atypical Mongolian spot locations; the 1.5-year-old girl has spots on her back and right trunk while the 8-year-old boy only has spots on the back of his thighs.
  • - This case is particularly significant because Mongolian spots are rarely found exclusively on the back of the thighs, an area often associated with blunt force trauma, complicating the differentiation from bruises in potential abuse cases.

Article Abstract

The assessment of skin changes in the context of possible child abuse is an important task in forensic medicine. This requires knowledge of pigmentation variants and pigmentation disorders such as congenital dermal melanocytosis, which includes Mongolian spots. Particularly in the case of atypical localization and dark pigmented skin, the differentiation from hematomas can be challenging. A case of two Nigerian siblings with extensive and atypically localized Mongolian spots is reported. The 1.5-year-old girl showed Mongolian spots on her back and the right side of her trunk. The 8-year-old boy showed Mongolian spots only on the back of his thighs. The authors are not aware of any case in which so called Mongolian spots were present exclusively on the back of the thighs and this case is all the more noteworthy as the back of the thigh is a common localization of blunt force trauma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11306358PMC
http://dx.doi.org/10.1007/s00414-024-03248-6DOI Listing

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