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Distinguishing Nonaccidental from
Accidental Contact Burns:

Nonaccidental burns caused by a hot solid object are the
most difficult to distinguish from accidental injuries. Cigarette
and iron burns are the most frequent types of these injuries.
Cigarette burns on a child’s back or buttocks are unlikely
to have been caused by walking into a lighted cigarette, and
therefore are more suspect than burns about the face and eyes,
which can occur accidentally if the child walks or runs into the
adult’s lighted cigarette held at waist height. Accidental burns
are usually more shallow, irregular, and less well defined than
deliberate burns. Multiple cigarette burns are distinctively
characteristic of child abuse.

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