Toddler with unexplained multiple bruises

Rajan Arora, Earl Hartwig, Nirupama Kannikeswaran

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


It is often very challenging for clinicians to distinguish between accidental, intentional, and other causes of bruising such as underlying bleeding disorder in a child with extensive bruising. We present a case of a 17-month-old healthy male who presented to our emergency department with multiple unexplained bruises after an unwitnessed fall and was subsequently diagnosed with congenital vitamin K-dependent clotting factor deficiency. This case illustrates the importance of thorough assessment in evaluating a child with multiple bruises to differentiate accidental from intentional injuries as well as to recognize bleeding disorders, which warrant specific diagnostic workup..

Original languageEnglish
Pages (from-to)646-648
Number of pages3
JournalPediatric Emergency Care
Issue number9
StatePublished - 2014


  • bleeding disorder
  • bruises
  • congenital
  • vitamin K


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