Visual Diagnosis in Emergency Medicine| Volume 45, ISSUE 4, e139-e140, October 2013

Oral Lesion Secondary to Child Abuse

      A previously healthy 10-year-old male was seen at his dentist's office for “scratches” on his throat. His mother had attributed them to a retainer device placed in his palate a couple of months before. The dentist, however, found these lesions suspicious for oral sexual abuse and not secondary to the retainer device, as these scratches were posterior to the device. Child Protective Services (CPS) was notified and the child was brought to emergency department (ED) for further evaluation. Both the mother and the child denied any possibility of sexual contact or sexual or physical abuse.
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        • Gilbert R.
        • Widom C.S.
        • Browne K.
        • et al.
        Burden and consequences of child maltreatment in high-income countries.
        Lancet. 2009; 373: 68-81
      1. Administration for Children and Families. Child Maltreatment 2010. Annual Report. US Government Printing Office; Department of Health and Human Services, Washington, DC, 2010. Available at: Accessed April 11, 2012.

        • Folland D.S.
        • Burke R.E.
        • Hinman A.R.
        • et al.
        Gonorrhea in preadolescent children: an inquiry into source of infection and mode of transmission.
        Pediatrics. 1977; 60: 153-155
        • Schlesinger S.L.
        • Borbotsina J.
        • O'Neill L.
        Petechial hemorrhages of the soft palate secondary to fellatio.
        Oral Surg Oral Med Oral Pathol. 1975; 40: 376-378
        • De Jong A.R.
        Sexually transmitted diseases in sexually abused children.
        Sex Transm Dis. 1986; 3: 123-126
        • Kellogg N.
        • American Academy of Pediatrics Committee on Child Abuse and Neglect
        The evaluation of sexual abuse in children.
        Pediatrics. 2005; 116: 506-512
        • Kellogg N.
        • American Academy of Pediatrics Committee on Child Abuse and Neglect
        Oral and dental aspects of child abuse and neglect.
        Pediatrics. 2005; 116: 1565-1568