caa a22 4500 475784782 CHVBK 20180406123655.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s004310051328 doi (NATIONALLICENCE)springer-10.1007/s004310051328 Suspected sexual abuse: an unusual presentation form of congenital myotonic dystrophy [Elektronische Daten] [Lucrecia Suárez, Amaya Bélanger-Quintana, Hector Escobar, Gemma de Blas, Jesus Benítez, Eduardo Lobo, Fuencisla de Miguel, Juan Manuel Aparicio] In children, anal abnormalities due to various causes may be confused with sexual abuse. We present the case of a child in whom the suspicion of abuse due to anal dilatation led to the previously unknown diagnosis of myotonic dystrophy. Myopathic involvement of the perianal musculature is a known feature of congenital myotonic dystrophy that usually appears in late childhood or adolescence. Conclusion We stress the importance of considering an underlying myopathic condition in the differential diagnosis of anal laxity. Further studies, such as anal ultrasonography, may help when the diagnosis of abuse is not clear. Springer-Verlag Berlin Heidelberg, 2000 Key words Sexual abuse nationallicence Anal dilatation nationallicence Myotonic dystrophy nationallicence Child nationallicence Suárez Lucrecia Department of Paediatrics, Hospital Ramón y Cajal, Crta de Colmenar Km 9,1 s/n, 28034 Madrid, Spain e-mail: lsuarez@hrc.insalud.es Tel.: +34-91-3368092; Fax: +34-91-3580614, ES aut Bélanger-Quintana Amaya Department of Paediatrics, Hospital Ramón y Cajal, Crta de Colmenar Km 9,1 s/n, 28034 Madrid, Spain e-mail: lsuarez@hrc.insalud.es Tel.: +34-91-3368092; Fax: +34-91-3580614, ES aut Escobar Hector Department of Paediatrics, Hospital Ramón y Cajal, Crta de Colmenar Km 9,1 s/n, 28034 Madrid, Spain e-mail: lsuarez@hrc.insalud.es Tel.: +34-91-3368092; Fax: +34-91-3580614, ES aut de Blas Gemma Department of Clinical Neurophysiology, Hospital Ramón y Cajal, Madrid, Spain, ES aut Benítez Jesus Department of Molecular Genetics, Fundación Jiménez Díaz, Madrid, Spain, ES aut Lobo Eduardo Department of Gastro-intestinal Surgery, Hospital Ramón y Cajal, Madrid, Spain, ES aut de Miguel Fuencisla Family Paediatrician, Area 5, Madrid, Spain, ES aut Aparicio Juan Manuel Department of Paediatrics, Hospital Ramón y Cajal, Crta de Colmenar Km 9,1 s/n, 28034 Madrid, Spain e-mail: lsuarez@hrc.insalud.es Tel.: +34-91-3368092; Fax: +34-91-3580614, ES aut https://doi.org/10.1007/s004310051328 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004310051328 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Suárez Lucrecia Department of Paediatrics, Hospital Ramón y Cajal, Crta de Colmenar Km 9,1 s/n, 28034 Madrid, Spain e-mail: lsuarez@hrc.insalud.es Tel.: +34-91-3368092; Fax: +34-91-3580614, ES aut NATIONALLICENCE 700 1- Bélanger-Quintana Amaya Department of Paediatrics, Hospital Ramón y Cajal, Crta de Colmenar Km 9,1 s/n, 28034 Madrid, Spain e-mail: lsuarez@hrc.insalud.es Tel.: +34-91-3368092; Fax: +34-91-3580614, ES aut NATIONALLICENCE 700 1- Escobar Hector Department of Paediatrics, Hospital Ramón y Cajal, Crta de Colmenar Km 9,1 s/n, 28034 Madrid, Spain e-mail: lsuarez@hrc.insalud.es Tel.: +34-91-3368092; Fax: +34-91-3580614, ES aut NATIONALLICENCE 700 1- de Blas Gemma Department of Clinical Neurophysiology, Hospital Ramón y Cajal, Madrid, Spain, ES aut NATIONALLICENCE 700 1- Benítez Jesus Department of Molecular Genetics, Fundación Jiménez Díaz, Madrid, Spain, ES aut NATIONALLICENCE 700 1- Lobo Eduardo Department of Gastro-intestinal Surgery, Hospital Ramón y Cajal, Madrid, Spain, ES aut NATIONALLICENCE 700 1- de Miguel Fuencisla Family Paediatrician, Area 5, Madrid, Spain, ES aut NATIONALLICENCE 700 1- Aparicio Juan Manuel Department of Paediatrics, Hospital Ramón y Cajal, Crta de Colmenar Km 9,1 s/n, 28034 Madrid, Spain e-mail: lsuarez@hrc.insalud.es Tel.: +34-91-3368092; Fax: +34-91-3580614, ES aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer