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Degos disease: a new simulator of non-accidental injury.

Moss, Celia and Wassmer, Evangeline and Debelle, Geoff and Hackett, Scott and Goodyear, Helen and Malcomson, Roger and Ryder, Clive and Sgouros, Spyros and Shahidullah, Hossain (2009) Degos disease: a new simulator of non-accidental injury. Developmental medicine and child neurology, 51 (8). pp. 647-50. ISSN 1469-8749. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Official URL: http://onlinelibrary.wiley.com/doi/10.1111/j.1469-...

Abstract

Recent high-profile cases have made paediatricians very aware of the serious implications of either missing or wrongly diagnosing non-accidental injury. Subdural fluid collections in non-mobile infants usually represent haemorrhage caused by non-accidental injury. We report a 6-month-old male who presented to the Accident and Emergency Department of Birmingham Heartlands Hospital with bilateral subdural fluid collections and skin ulcers resembling cigarette burns. Non-accidental injury was considered to be the most likely diagnosis. However, while under observation in hospital, the child's neurological condition deteriorated with progressive cerebral infarctions, and serial photographs of the skin lesions showed failure to heal. The revised diagnosis, confirmed histologically, was Degos disease, an extremely rare and often fatal occlusive vasculopathy. The child was treated palliatively and died 8 weeks after presentation. This report informs doctors of a new simulator of non-accidental injury to be considered in infants with otherwise unexplained subdural fluid collections.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WS Paediatrics. Child health
Divisions: Womens and Childrens > Paediatrics
Related URLs:
Depositing User: Preeti Puligari
Date Deposited: 29 Aug 2014 08:37
Last Modified: 29 Aug 2014 08:37
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/619

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