Reviews

Ference Feher, Agnes Heller and Gyorgy Markus, Dictatorship Over Needs, Oxford: Basil Blackwell, 1983, xiii+312 pp. £22.50.

Pierre Kende and Zdenek Strmiska, (Eds.) Egalités et inégalités en Europe de l’ Est, Presses de la Fondation Nationale des Sciences Politiques, Paris, 1984.

Lewis H. Siegelbaum, The Politics of Industrial Mobilisation in Russia, 1914–17: A Study of the War‐Industries Committees, London, Macmillan (in association with St. Antony's College, Oxford), 1983, xix + 312 pp. £25.00

William J. Conyngham, The Modernization of Soviet Industrial Management, Cambridge University Press, 1982, pp. 332 + ix. £19–50.

Caroline Humphrey, Karl Marx Collective: Economy, society and religion in a Siberian collective farm. Cambridge, Melbourne, Sydney: Cambridge University Press, 1983. xviii + 522 pp. £30–00 (£10–95 paperback).

Victor Zaslavsky and Robert J. Brym, Soviet Jewish Emigration and Soviet Nationality Policy, London, Macmillan, 1984, vii + 185 pp. £20.00.

James E. Mace, Communism and the Dilemmas of National Liberation: National Communism in Soviet Ukraine 1918–1933, Harvard University Press for the Harvard Ukrainian Research Institute and the Ukrainian Academy of Arts and Sciences in the U.S., Cambridge, Mass. 1983. xiv + 334 pp. $21.50.

Kalman Rupp, Entrepreneurs in Red, State University of New York Press, Albany, N.Y., 1983. 260 + xvii pp. £37.60 (hardback) £14.25 (paperback).

Cole Blasier, The Giant's Rival: the USSR and Latin America. Pittsburgh: University of Pittsburgh Press, 1983, xvi + 213 pp. $7.95 (paperback).     

Undiagnosed, untreated acute lymphoblastic leukemia presenting as suspected child abuse

Natural disease being mistaken for child abuse is rare. A two-year-old child was found unresponsive at home and transported to a local hospital, where she expired in the emergency room. Several cutaneous contusions were observed. Prior to the autopsy it was learned that an anonymous report of "child abuse" had been previously filed concerning this child. At autopsy there were multiple metasynchronous cutaneous contusions, but no radiologic or gross evidence of other injuries. A pericardial effusion, massive hepatosplenomegaly and generalized lymphadenopathy were apparent. The bone marrow, liver, spleen, lymph nodes, kidneys, pancreas, heart, stomach, and dura mater showed a monotonous lymphocytic infiltrate. Immunocytochemical studies confirmed the diagnosis of acute lymphoblastic leukemia of childhood. This case reaffirms the need for an objective examination of all cases by a forensic pathologist.