Pilot Application of SEM/EDX Analysis on Suspected Cigarette Burns in a Forensic Autopsy Case of Child Abuse.

IF 1 4区 医学 Q3 MEDICINE, LEGAL American Journal of Forensic Medicine and Pathology Pub Date : 2024-06-01 Epub Date: 2024-02-27 DOI:10.1097/PAF.0000000000000922
Stefano Tambuzzi, Guendalina Gentile, Riccardo Primavera, Enrico Muccino, Riccardo Zoja
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Abstract

Abstract: Cigarette burn lesions present forensic scenarios that are often difficult to investigate, both from a morphological diagnostic point of view and with regard to the mode of infliction, especially if the victim is unable to speak or has died. Although there may be the suspicion for a lesion to be produced by a lit cigarette, to date one can only rely on the morphological aspects that characterize it, and there is a lack of tools to reach the most evidence-based diagnosis possible. This limitation arose when managing a forensic autopsy case of possible child abuse that resulted in the death of the child, characterized by the presence of 3 suspicious cigarette burn lesions. We therefore decided to perform scanning electron microscopy/energy-dispersive x-ray (SEM/EDX) spectrometry analysis on these lesions and on the cigarette butt found at the crime scene. At the same time, SEM/EDX was applied to the analysis of an unlit cigarette in its entirety (obtained from the same source package as the cigarette butt), a positive control skin sample with an iatrogenic cigarette burn injury, and a negative control skin sample. Among the various compounds highlighted on compositional analysis, only sulfuric anhydride (SO 3 ) and phosphoric anhydride (P 2 O 5 ) showed a highly significant distribution pattern by being found in the autopsy samples, the cigarette butt, the tobacco of the unlit cigarette, and the positive skin control. Considering this, cigarette burns appear to follow Locard's principle as well, and similarly to other lesions, SEM/EDX allowed the diagnosis of cigarette burn lesions, already suspected morphologically, to be corroborated. Therefore, SEM/EDX is confirmed as a helpful tool in forensic pathology investigations.

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在一例虐待儿童的法医尸检中,对疑似香烟烧伤进行 SEM/EDX 分析的试点应用。
摘要:烟头烫伤在法医鉴定中往往难以调查,无论是从形态学诊断的角度还是从造成方式的角度,尤其是在受害者无法说话或已经死亡的情况下。虽然有可能怀疑病变是由点燃的香烟造成的,但迄今为止,我们只能依靠形态学方面的特征来判断,而且缺乏尽可能以证据为基础进行诊断的工具。在处理一例法医尸检病例时就出现了这种局限性,该病例可能是虐待儿童导致儿童死亡,其特征是存在 3 处可疑的香烟灼伤病灶。因此,我们决定对这些伤痕和犯罪现场发现的烟头进行扫描电子显微镜/能量色散 X 射线(SEM/EDX)光谱分析。同时,扫描电子显微镜/能量色散 X 射线光谱法还用于分析一支未点燃的香烟(与烟头取自同一来源包装)、带有先天性香烟烧伤的阳性对照皮肤样本和阴性对照皮肤样本。在成分分析中突出显示的各种化合物中,只有硫酸酐(SO3)和磷酸酐(P2O5)在尸检样本、烟蒂、未燃香烟的烟丝和阳性皮肤对照样本中均有发现,显示出非常显著的分布模式。考虑到这一点,香烟烧伤似乎也遵循 Locard 原理,与其他病变类似,SEM/EDX 使从形态学上已经怀疑的香烟烧伤病变诊断得到了证实。因此,SEM/EDX 被证实是法医病理学调查中的一种有用工具。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
103
审稿时长
4-8 weeks
期刊介绍: Drawing on the expertise of leading forensic pathologists, lawyers, and criminologists, The American Journal of Forensic Medicine and Pathology presents up-to-date coverage of forensic medical practices worldwide. Each issue of the journal features original articles on new examination and documentation procedures. While most articles are available as web based articles, PDF and in ePub reader format, some earlier articles do not have PDFs available. If you would like to view an article in the ePub format, you will need to download an ePub reader to view this file, a number of which are available for free online.
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