Resumen

ADAMS, Joyce A.. Descripción del abuso sexual pediátrico a partir de hallazgos del examen físico. Salud(i)Ciencia [online]. 2020, vol.24, n.4, pp.169-176.  Epub 10-Oct-2020. ISSN 1667-8682.  http://dx.doi.org/10.21840/siic/163606.

The understanding of the frequency and significance of various medical findings in sexually abused children has changed over time. Before 1989, several variations in the appearance of genital and anal tissues were thought to be due to abuse. Studies describing in detail the appearance of anal tissues in children selected for non-abuse in 1989, and genital findings in non-abused girls in 1990, showed that many of these variations were seen non-abused children as well. The most common of these variations were included in a listing of anogenital findings that also included known signs of acute injury and sexually transmitted infections, as well as other physical and laboratory findings for which the significance with respect to abuse was unknown. This listing evolved as new studies were published and efforts were made to reach consensus among experts in child sexual abuse evaluation as to how additional medical examination findings should be interpreted. The “Interpretation of Findings” table evolved over the next 26 years, with the most recent being published in 2018. There are still findings, as of June, 2020, for which no expert consensus exists as to how they should be interpreted in a child who is being evaluated for suspected sexual abuse. The history of the changes in the interpretation of genital and perianal findings in children with suspected sexual abuse will be reviewed.

Palabras clave : child sexual abuse; medical examination; sexually transmitted diseases; child non-abuse; medical evaluation.

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