Blood disease symptoms resemble child abuse. “…(A) study in the latest issue of Pediatrics (vol 111, p 636)… is the first time attention has been drawn to the potential confusion between HLH and child abuse injuries. No one knows how many other cases there are like this worldwide – and the tragedy is not just that parents are wrongly accused, but that without prompt diagnosis and treatment HLH can be fatal.
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The rareness of HLH and the commonness of child abuse are a disastrous combination. “Most paediatricians will never see a case of this during their careers,” says James Whitlock of Vanderbilt College of Medicine in Nashville, Tennessee. So when they are confronted with symptoms such as retinal haemorrhaging, widely taken to be a sure sign of “inflicted injury”, the logical assumption is child abuse.
Most of the time they are right. Indeed, child protection workers worry that raising the profile of HLH could let child abusers off the hook…” New Scientist