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KMID : 0376119790060020079
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Medical Journal of the Red Cross Hospital
1979 Volume.6 No. 2 p.79 ~ p.85
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A case of Battered-Child Syndrome
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全幸助/Jeon, H.J.
宋榮明/辛美子/姜碩哲/Song, Y.M./Shin, M.J./Kang, S.C.
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Abstract
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The Battered-Child Syndrome is a clinical.. conditions in young children who have received the physical and mental injury,sexual abuse,r negligent treatment or rnaltreatment, generally; from a parent, or foster. The term was coined by Dr. C Henry Kempe in 1962 and a number of synonyms, have, proposed such.: as thea Child Abuse and hdeg ect (CAN) syndrome, the Maltreated Child syndrome, and Trauma X to-name a few. The .syndrome is protean in, its manifestations abstruse in its etiology, and complex in its management. Physicians should suspect the Battered-child syndrome underr the following circumstances.
1) Parents often relate story that is at variance wit clindings reluctance of parents to give information. Comipaint other than one associated with abuse and neglect e.g., cold, headache, stomache, etc.
2) Multiple visits to various hospital admittance to hospital during evening hours.
3)Parent´s inappropriate eaction to severity 0f injury
4) Family discord or financial stress alcoholism, psychosis, perversion, drug addiction, etc.
We have recently, experienced. a case of Battered, Child syndrome with medicosocial, problems in2 6/12 year old female child who was, brought to emergency room by her father, step mother and aunt because of loss of consciousness. She revealed numerous ecc mo is and urpuricdiscoloration over both periorbital regions, forearms and-hands, hairbrush A shaped purpuric.lesion on thee back branding marks with grate on the right vulva-area aures mild walnut-sized hematoma oven the frontal area, retinal, hemorrhage, rib fracanemia and impaired liver function, but´therewere no specific findings in skull X-ray. carotid angiography, ectroencephalogram and so on.
During hospitalization it was discovered .that buser was her aunt, a 16 year. old by policeman´s information; who was prcisecuted by neighbor petition.And the 85th H.D. she was discharged, still in cloudy consciousness with intermittent minor izure despiteof anticonvulsant therapy. Thereafter we couldn´t follow her because of no in their visiting our hospital even with inaccurate, residency. Herein a case of Battered Child syndrome suspected ac first report in Korea was presented in a brief review in their relate literature.
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