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Table 5 Comparison with published studies reviewed by RCPCH[4]

From: Anal signs of child sexual abuse: a case–control study

 

Cases

Controls

Sign

This study

RCPCH review

This study

RCPCH review

Reflex anal dilatation

22.3%

10 – 34% [5, 6, 8, 10, 11, 13, 32, 33]

0%

<1 – 3.6% (left lateral) [11, 14]

Laxity/reduced anal tone

26.6%

3 – 14% [7, 12, 34]

2.8%

No reports

Reddening/erythema

30.4%

1 – 12.6% [58, 11, 13, 35]

8.3%

7 – 13.2% [11, 13, 14]

Perianal venous congestion

35.9%

8 – 36% [5, 8, 10, 11, 36]

0.6%

1% – 34.3% [11, 13, 14]

Fissure/laceration

14.1%

11 – 50% [57, 1012, 32, 3538]

1.1%

1 – 3% [11, 13, 14]

Anal or perianal bruising

0%

0 – 10% [7, 10, 11, 32]

0%

0 – 1.1% [11, 14]

Any signs

74%

1 – 95% [5, 6, 3235, 39]

16%

No reports