{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:47:55Z","timestamp":1790909275869,"version":"4.1.0"},"reference-count":158,"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>Child abuse might be suspected when children present with cutaneous bruising, intracranial hemorrhage, or other manifestations of bleeding. In these cases, it is necessary to consider medical conditions that predispose to easy bleeding or bruising. When evaluating for the possibility of bleeding disorders and other conditions that predispose to hemorrhage, it is important for pediatricians to consider the child\u2019s presenting history, medical history, and physical examination findings before initiating a laboratory investigation. Many medical conditions can predispose to easy bleeding. Before ordering laboratory tests for a disease, it is useful to understand the biochemical basis and clinical presentation of the disorder, condition prevalence, and test characteristics. This technical report reviews the major medical conditions that predispose to bruising or bleeding and should be considered when evaluating for abusive injury.<\/jats:p>","DOI":"10.1542\/peds.2022-059277","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T08:11:24Z","timestamp":1663575084000},"source":"Crossref","is-referenced-by-count":19,"title":["Evaluating for Suspected Child Abuse: Conditions That Predispose to Bleeding"],"prefix":"10.1542","volume":"150","author":[{"given":"Shannon L.","family":"Carpenter","sequence":"first","affiliation":[{"name":"aDivision of Hematology\/Oncology\/BMT, Children\u2019s Mercy Hospital, Department of Pediatrics, University of Missouri Kansas City School of Medicine, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas C.","family":"Abshire","sequence":"additional","affiliation":[{"name":"bSenior Investigator Emeritus, Versiti Blood Research Institute, Department of Pediatrics, Medicine, and the CTSI of Southeast Wisconsin, Emeritus, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Killough","sequence":"additional","affiliation":[{"name":"cDivision of Child Adversity and Resilience, Children's Mercy Hospital, Department of Pediatrics, University of Missouri Kansas City School of Medicine, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James D.","family":"Anderst","sequence":"additional","affiliation":[{"name":"cDivision of Child Adversity and Resilience, Children's Mercy Hospital, Department of Pediatrics, University of Missouri Kansas City School of Medicine, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the AAP SECTION ON HEMATOLOGY\/ONCOLOGY, THE AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY AND ONCOLOGY, and the AAP COUNCIL ON CHILD ABUSE AND NEGLECT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2022,9,19]]},"reference":[{"issue":"2","key":"2023110816571658200_B1","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1111\/j.1365-2516.2010.02390.x","article-title":"The power of a standardized bleeding score in diagnosing paediatric type 1 von Willebrand\u2019s disease and platelet function defects","volume":"17","author":"Marcus","year":"2011","journal-title":"Haemophilia"},{"issue":"8","key":"2023110816571658200_B2","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1111\/j.1538-7836.2009.03499.x","article-title":"Evaluation of the diagnostic utility for von Willebrand disease of a pediatric bleeding questionnaire","volume":"7","author":"Bowman","year":"2009","journal-title":"J Thromb Haemost"},{"issue":"7","key":"2023110816571658200_B3","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1111\/j.1538-7836.2012.04775.x","article-title":"Prospective evaluation of a pediatric bleeding questionnaire and the ISTH bleeding assessment tool in children and parents in routine clinical practice","volume":"10","author":"Bidlingmaier","year":"2012","journal-title":"J Thromb Haemost"},{"issue":"4","key":"2023110816571658200_B4","doi-asserted-by":"crossref","first-page":"e2022059276","DOI":"10.1542\/peds.2022-059276","article-title":"Clinical report. 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