Sock burns on a child’s feet should raise concern for which issue?

• A. Maltreatment
• B. Unrelated accidental burn
• C. Frostbite
• D. Allergic reaction

Answer: (A)

Sock-like, well-demarcated burns on a child’s feet point toward non-accidental trauma. This stocking or glove distribution, often with a sharp edge and sometimes symmetric involvement, is characteristic of forced immersion in hot liquid rather than an accidental spill. The pattern does not fit typical accidental burns, which tend to have irregular edges, splash marks, and variable depth. Frostbite shows color changes and numbness from cold exposure, not a neat, uniform boundary like a stocking pattern. An allergic reaction produces diffuse itching, swelling, or hives rather than discrete burn injuries. When such a pattern is seen, raise concern for maltreatment, ensure safety, and document findings and report to the appropriate authorities.