THE INTERSECTION OF DERMATOLOGICAL HEALTH AND FORENSIC MEDICINE: IMPLICATIONS OF SKIN CHANGES IN VICTIMS OF ABUSE

Abstract

Introduction: Skin, the human body's largest organ, acts as a protective barrier and a visible marker of health and trauma. In forensic medicine, skin changes are critical in identifying physical abuse, providing insights into the timing, mechanism, and severity of injuries. These dermatological markers are essential evidence in clinical assessments and legal investigations. This study delves into the dermatological manifestations in victims of abuse, analyzing their forensic implications.

Objective: The primary objective of this study is to investigate the dermatological changes observed in victims of physical abuse, highlighting their histological, biochemical, and forensic relevance to enhance the detection, documentation, and understanding of abuse.

Methodology: A cohort of 85 patients was studied at Niazi Medical College during June 2021 to December 2021. Dermatological, histological, and biochemical analyses were performed to assess the nature and extent of skin injuries. Patients were categorized based on the severity and type of abuse they endured.

Results: The study identified a high prevalence of bruises (82.4%), lacerations (54.1%), and burns (28.2%). Histological examinations revealed inflammatory infiltrates, fibrosis, and delayed wound healing, while biochemical markers such as C-reactive protein (CRP) and malondialdehyde (MDA) correlated significantly with injury severity.

Conclusion: The findings underscore the critical role of dermatological evaluations in forensic medicine. Skin changes provide valuable insights into abuse detection and offer robust documentation for legal proceedings, necessitating interdisciplinary collaboration for optimal outcomes.