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AAP Grand Rounds 15:34-35 (2006)
© 2006 American Academy of Pediatrics

Recognizing Intentional Childhood Starvation

The first 20% of the full text of this article appears below.

The authors from the Universities of Texas, San Antonio and Galveston, reviewed 12 cases involving childhood maltreatment by starvation identified through the Texas legal system. Two cases are presented in detail and the others summarized in a table that includes clinical presentation, examination findings, laboratory findings, and symptoms of refeeding syndrome (where applicable). Six of 12 children were dead on arrival or died shortly after presentation. When survivors were compared with non-survivors, age at presentation was the only measured variable that was statistically different: median age of survivors was 7.9 years versus 8 months for non-survivors. Overall, 10 of the 12 children had severe stunting (height/length <85% predicted for age). All 5 children <12 months old had severe wasting (weight . . . [Full Text of this Article]

Betty Spivack, MD, FAAP

Pathology and Pediatrics, University of Louisville School of Medicine, and the Medical Examiner Division of the Kentucky Cabinet for Justice and Public Safety, Louisville, KY