Abstract
Numerous cutaneous abnormalities have been described in adolescent girls who have been sexually abused. These include bruising bite marks cuts scratches abrasions edema hematomas or other evidence of struggle. Victims frequently shower or bathe excessively in an effort to cleanse their skin following such an unwanted encounter. However there is a paucity of information in the literature regarding the association of sexual abuse and removal of the superficial layers of the skin as a more desperate attempt by teenagers to rid themselves of the perpetrator. The purpose of this paper is to heighten awareness among practitioners that self-induced cutting and carving of the forearms with scarification may occur as a manifestation of sexual abuse in young women. A case history and review of the literature will be presented. (excerpt)
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