Each of two or more children or offspring having one or both parents in common; a brother or sister.


Hinojosa et al. reported the case of two siblings in whom a diagnosis of hemophilia coexisted with the presumption of a non-accidental head trauma. Child abuses were inflicted in both children with a spare time of 2 years. A diagnosis of mild hemophilia was prompted in the first sibling after initial NAHT, while inflicted trauma was evident in the second sibling after neuroimaging findings and concomitant lesions. Lessons from this case in co-existing bleeding disorders and inflicted trauma and legal implications derived will be discussed thereafter.The possibility of a bleeding disorder should be considered in all children presenting with unexplained bleeding at a critical site in the setting of suspected physical maltreatment, particularly intracranial hemorrhage (ICH) 1).


1)
Hinojosa J, Simó M, Armero G, Becerra MV, Alamar M, Candela S, Culebras D, Muchart J, Berrueco R. Hemophilia and non-accidental head trauma in two siblings: lessons and legal implications. Childs Nerv Syst. 2022 Oct 28. doi: 10.1007/s00381-022-05713-2. Epub ahead of print. PMID: 36303077.
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