<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152019000100054</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abuso sexual en el paciente pediátrico]]></article-title>
<article-title xml:lang="en"><![CDATA[Sexual abuse in the pediatric patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cohen Rosenstock]]></surname>
<given-names><![CDATA[Stephanie]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cob Guillén]]></surname>
<given-names><![CDATA[Esteban]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UCIMED  ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UCIMED  ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>36</volume>
<numero>1</numero>
<fpage>54</fpage>
<lpage>61</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152019000100054&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152019000100054&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152019000100054&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El abuso sexual infantil es la causa específica más común de violencia intrafamiliar en menores de 18 años en Costa Rica. Entre los factores de riesgo se encuentran el pertenecer a una familia disfuncional, el uso de la violencia como método de educación, la falta de educación sexual y los menores de edad con discapacidades cognitivas o trastornos del desarrollo. Los menores de edad tienden a ser víctimas abusadas crónicamente y que su reporte es tardío por lo que la valoración debe iniciarse desde que se tiene la mínima sospecha. El abordaje debe ser integral, realizando una detallada historia clínica y examen físico, así como una valoración legal y recolección de evidencia. Un sinnúmero de consecuencias sufren las víctimas de abuso sexual infantil, entre ellos se encuentran los trastornos de personalidad, el trastorno de género, las enfermedades de transmisión sexual y la depresión. Si bien Costa Rica está a la vanguardia a nivel internacional en temas de derechos humanos, la incidencia de casos reportados de abuso sexual infantil ha incrementado en los últimos años por lo que es un tema que involucra a todos los actores de la sociedad para su abordaje.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Child sexual abuse is the most common specific cause of intrafamilial violence in children under 18 years old in Costa Rica. Among the risk factors are belonging to a dysfunctional family, the use of violence as a method of education, lack of sexual education, and children with cognitive disabilities or developmental disorders. Minors tend to be chronically abused victims and that their report is delayed, so the assessment should start from the moment of the slightest suspicion. The approach must be comprehensive, performing a detailed clinical history and physical examination, as well as a legal assessment and evidence collection. Countless consequences suffer the victims of child sexual abuse, among them are personality disorders, gender disorder, sexually transmitted diseases, and depression. Although Costa Rica is at the forefront of international human rights issues, the incidence of reported cases of child sexual abuse has increased in recent years, which is why it is an issue that involves all actors in society to address it.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Abuso sexual pediátrico]]></kwd>
<kwd lng="es"><![CDATA[víctima pediátrica]]></kwd>
<kwd lng="es"><![CDATA[evaluación medico-legal]]></kwd>
<kwd lng="en"><![CDATA[Pediatric sexual abuse]]></kwd>
<kwd lng="en"><![CDATA[pediatric victim]]></kwd>
<kwd lng="en"><![CDATA[medical-legal evaluation]]></kwd>
</kwd-group>
</article-meta>
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