Randall Schlievert, MD

A healthy 4-year-old girl presented to the emergency department (ED) with suspected inflicted burns on the tongue. Initially, the patient had complained of a burning mouth to school staff. On direct questioning by the principal, the child said her mother had burned her tongue with a cigarette. School staff noted the lesions.

A 9-week-old Caucasian infant is brought to the primary care physician for evaluation of purpura and petechiae. His parents noted the bruising the previous night, which grew progressively worse throughout the next day. The lesions seemed to appear "out of the blue" without apparent cause, including trauma.

A 2-year-old boy was broughtto the emergency department(ED) with a burned hand.His mother reported that immediatelyafter the burn, sheplaced the injured hand undercold water. Soon after, a friendtransported the family to theED.