{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:47:12Z","timestamp":1790909232504,"version":"4.1.0"},"reference-count":43,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,1]]},"abstract":"<jats:p>Bruising or bleeding in a child can raise the concern for child abuse. Assessing whether the findings are the result of trauma and\/or whether the child has a bleeding disorder is critical. Many bleeding disorders are rare, and not every child with bruising\/bleeding that may raise a concern for abuse requires an evaluation for bleeding disorders. However, in some instances, bleeding disorders can present in a manner similar to child abuse. Bleeding disorders cannot be ruled out solely on the basis of patient and family history, no matter how extensive. The history and clinical evaluation can be used to determine the necessity of an evaluation for a possible bleeding disorder, and prevalence and known clinical presentations of individual bleeding disorders can be used to guide the extent of laboratory testing. This clinical report provides guidance to pediatricians and other clinicians regarding the evaluation for bleeding disorders when child abuse is suspected.<\/jats:p>","DOI":"10.1542\/peds.2022-059276","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T08:12:04Z","timestamp":1663575124000},"source":"Crossref","is-referenced-by-count":23,"title":["Evaluation for Bleeding Disorders in Suspected Child Abuse"],"prefix":"10.1542","volume":"150","author":[{"given":"James","family":"Anderst","sequence":"first","affiliation":[{"name":"aDivision of Child Adversity and Resilience, Children\u2019s Mercy Hospital, Department of Pediatrics, University of Missouri Kansas City School of Medicine, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon L.","family":"Carpenter","sequence":"additional","affiliation":[{"name":"bDivision of Hematology\/Oncology\/BMT, Children\u2019s Mercy Hospital, Department of Pediatrics, 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