Abstract
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.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Received: 13 April 1999 / Accepted: 31 January 2000
Rights and permissions
About this article
Cite this article
Suárez, L., Bélanger-Quintana, A., Escobar, H. et al. Suspected sexual abuse: an unusual presentation form of congenital myotonic dystrophy. Eur J Pediatr 159, 539–541 (2000). https://doi.org/10.1007/s004310051328
Issue Date:
DOI: https://doi.org/10.1007/s004310051328