International Journal of Ophthalmic PathologyISSN: 2324-8599

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Research Article, Int J Ophthalmic Pathol Vol: 2 Issue: 3

Extramedullary Hematopoiesis in Abusive Head Trauma

Robert M. Verdijk*
Department of Pathology, Erasmus MC University, Rotterdam, The Netherlands
Corresponding author: Rob M. Verdijk, MD, PhD
Laboratory of Ophthalmopathology, Department of Pathology, Erasmus MC University, POBox 2040, 3000 CA, Rotterdam, The Netherlands
Tel: 31 (0) 10 704 3960; Fax: 31 (0) 10 704 4762
Received: March 17, 2013 Accepted: April 23, 2013 Published: April 29, 2013
Citation: Verdijk RM (2013) Extramedullary Hematopoiesis in Abusive Head Trauma. Int J Ophthalmic Pathol 2:3. doi:10.4172/2324-8599.1000115


was observed in an otherwise clear cut case of abusive head trauma with bilateral retinal hemorrhage, optic nerve sheath hemorrhage and peripapillary intrascleral hemorrhage. Review of 60 archival cases of suspected abusive head trauma identified two more examples of extramedullary hematopoiesis in abusive head trauma that initially had been diagnosed as uveitis. Extramedullary hematopoiesis of the choroid may have a relation to premature birth, possible anemia or may be a reaction to intraocular bleeding due to earlier trauma. Choroidal extramedullary hematopoiesis may easily be confused for choroiditis and interpreted as a sign of infectious disease. Awarenes of the possibiliy of extramedullary hematopoiesis of the choroid should prevent misdiagnosis.

Keywords: Child abuse; Retinal hemorrhage; Extramedullary hematopoiesis

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