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August 1976

Picture of the Month

Author Affiliations

From the Department of Pediatrics, Martin Army Hospital, Fort Benning, Ga (MAJ Yeatman); the Fitzsimons Army Medical Center, Denver (CPT Shaw); the William Beaumont Army Medical Center, El Paso, Tex (LTC Barlow); and the Milton S. Hershey Medical Center, Hershey, Pa (Dr Bartlett).

Am J Dis Child. 1976;130(8):857-858. doi:10.1001/archpedi.1976.02120090067012

Denouement and Discussion 

Cao Gío (Pseudo-Battering in Vietnamese Children) 

Manifestations  Cao gío is the Vietnamese folk practice of dermabrasion and can be mistaken for trauma. It is performed (on children and adults) as treatment for various maladies, including fever and headache. The trunk is massaged with hot oil until the skin is warm. Firm downward strokes with the edge of a coin are used to produce linear petechiae or purpura that often overlie bony surfaces. Irregular purpuric lesions and diffuse petechiae are also present. Ca̧o gío is a common practice in the Vietnamese culture and should not be confused with abuse.

Treatment  No specific treatment is indicated.The Editors welcome contributions to "Picture of the Month" and "Radiological Case of the Month." Those who wish to contribute should send their manuscripts to Dr Gellis (Picture of the Month), Boston Floating Hospital, 20 Ash St, Boston, MA 02111, or Dr Gwinn

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