delta-Storage pool disease: a pitfall in the forensic investigation of sudden anal blood loss in children: a case report.
Int J Legal Med
; 121(1): 44-7, 2007 Jan.
Article
in En
| MEDLINE
| ID: mdl-16283350
ABSTRACT
We present the case of a 3.5-year-old boy with sudden anal blood loss at school. Sexual abuse was suspected, and, apart from anal fissures seen on sigmoidoscopy, no other clinical signs of any sort of disorder were present. As no medical explanation for the blood loss could be given, penetrating anal trauma was suggested. During follow-up consultations, there were complaints of occasional blood loss. Platelet aggregation tests and electron microscopy finally helped diagnose a delta-storage pool disease which is a rare haemostatic disorder involving the dense granules of the platelets. Although exclusion of well-known blood diseases through routine laboratory testing is a common practice in children with sudden blood loss, this case illustrates the value of more specialised investigation both from a diagnostic and forensic point of view.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Anus Diseases
/
Platelet Storage Pool Deficiency
/
Gastrointestinal Hemorrhage
Type of study:
Diagnostic_studies
Limits:
Child, preschool
/
Humans
/
Male
Language:
En
Journal:
Int J Legal Med
Journal subject:
JURISPRUDENCIA
Year:
2007
Document type:
Article
Affiliation country: