There is a certain difficulty in objectively identifying a cigarette burn in a forensic context, particularly when the victim cannot testify. Such lesions are of particular relevance in cases of suspected child abuse. Until now, diagnoses have relied mainly on the morphological appearance of the injuries, with no standardized tool to support a conclusion based on material evidence.
A striking clinical case of child abuse
A team from the Laboratory of Histological Pathology and Forensic Microbiology at the University of Milan investigated a suspected case of child abuse that resulted in the death of a child. Three circular lesions suggestive of cigarette burns were found on the body. A cigarette butt collected nearby further supported the suspicion of an intentional act. The challenge was to determine whether these marks were the result of deliberate harm. However, visual inspection and even conventional histology cannot always confirm the exact origin of such lesions. Hence the value of turning to a more refined and objective method.
The SEM–EDX method: a microscopic zoom on the lesion
Scanning electron microscopy (SEM) allows the morphology of the injured skin to be observed with extreme precision, while energy-dispersive X-ray spectroscopy (EDX) identifies the chemical elements present on the surface of the lesions. This analysis relied on internal calibration, applied both to samples of injured skin and to cigarette fragments collected at the scene.
Elemental signatures of an intentional act
The results revealed a circular lesion with a reddish base, consistent with intense thermal contact. The chemical composition detected by EDX contained elements typically associated with tobacco combustion, in particular sulfur trioxide and phosphorus oxides, confirming combustion rather than mere environmental residues. Combined with the histological findings, this analysis demonstrated that the injury had occurred prior to death, providing an objective element supporting the likelihood of abuse.
A tool to strengthen forensic expertise
The study demonstrates that SEM–EDX analysis, combined with histology, represents a significant advancement in the characterization of suspicious lesions in the context of child abuse. It moves beyond visual assessment to provide objective and reproducible data, essential in judicial proceedings. By overcoming the limitations of visual inspection, this approach delivers results based on reproducible physico-chemical evidence, thereby reinforcing the robustness of forensic conclusions in light of judicial requirements.
Conclusion
This study paves the way for broader integration of analytical microscopy into forensic practices. By combining scientific rigor with judicial investigation, it offers a robust method for clarifying the nature of lesions whose origin often remains uncertain. The approach could also be applied to other types of injuries, such as those caused by heat sources or chemical agents. This progress deserves to be extended and validated on a larger number of cases in order to refine its reliability.
Références :
- Tambuzzi S. et al. (2024). Pilot Application of SEM/EDX Analysis on Suspected Cigarette Burns in a Forensic Autopsy Case of Child Abuse. American Journal of Forensic Medicine & Pathology, 45(2), 135‑143. Read here.
- Faller-Marquardt M., Pollak S., Schmidt U. (2008). Cigarette Burns in Forensic Medicine. Forensic Sci. Int., 176(2–3), 200–208
- Maghin F. et al. (2018). Characterization With SEM/EDX of Microtraces From Ligature in Hanging. Am. J. Forensic Med. Pathol., 39(1), 1–7, read here.
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