Dermatologic, traumatic, infectious, and congenital disorders may be confused with sexual abuse. Seven children referred to us are representative of such confusion. Bays J, Jenny C. Am J Dis Child. Coronavirus Resource Center.
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Metrics details. There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. Controls: all children examined anally from to with possible physical abuse or neglect with no identified concern regarding sexual abuse. To explore the potential role of confounding, logistic regression was used to produce odds ratios adjusted for age and gender. A total of cases boys, 79 girls , average age Novel signs seen significantly more commonly in cases were anal fold changes, swelling and twitching.
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These were all children who had had their genitalia examined at the time of their referral. In 81 children Group A who had no history or evidence of sexual abuse, two fissures were found, both with medical explanations for their presence. The significance of the findings was discussed with a view to clarifying the relative importance of anal fissures in children with a strong history of anal abuse.
Signs of abuse may not be apparent without an examination of the genital area. These signs include:. Rectal problems, including constipation, pain, leaking of stool, or anal injury, may be caused by physical or sexual abuse that injures the abdominal or rectal area. An injury to the vagina or rectum, or injury to the abdomen, back, or lower spine can prevent normal bowel movements. Home treatment is not appropriate for rectal problems that are caused by abuse.