(Received 24 June 1983; accepted 26 August 1983)
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A 19-month-old, 3.6-kg (8-lb) female child dies after a protracted course. The child was premature and suffered a stormy perinatal and postnatal period. When there is underlying disease or a condition potentially sufficient in and of itself to result in a “starved child,” isolation of the results of potential neglect presents particular difficulties. The approach to the resolution of this question will be addressed.
Chief medical examiner, Dade County Medical Examiner Department, Miami, FL
Professor of pathology, University of Miami School of Medicine, Miami, FL
Associate medical examiner, Dade County Medical Examiner Department, Miami, FL
Stock #: JFS11722J