• Pediatric emergency care · Sep 2014

    Case Reports

    Toddler with unexplained multiple bruises.

    • Rajan Arora, Earl Hartwig, and Nirupama Kannikeswaran.
    • From the Division of Emergency Medicine, Carman and Ann Adam Department of Pediatrics, Children's Hospital of Michigan, 3901, Beaubien Blvd, Detroit, MI.
    • Pediatr Emerg Care. 2014 Sep 1;30(9):646-8.

    AbstractIt is often very challenging for clinicians to distinguish between accidental, intentional, and other causes of bruising such as underlying bleeding disorder in a child with extensive bruising. We present a case of a 17-month-old healthy male who presented to our emergency department with multiple unexplained bruises after an unwitnessed fall and was subsequently diagnosed with congenital vitamin K-dependent clotting factor deficiency. This case illustrates the importance of thorough assessment in evaluating a child with multiple bruises to differentiate accidental from intentional injuries as well as to recognize bleeding disorders, which warrant specific diagnostic workup.

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