Erythematous lumps in a newborn: Challenges in specific settings
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v32.i2.23928Keywords:
newborn, poor resources, subcutaneous fat necrosisAbstract
A term female newborn weighing 4190 g was born by cesarean section due to prolonged labor and meconium-stained fluid in a regional hospital in Guinea-Bissau. Bag-mask ventilation was required, and Apgar scores were six and eight at 1 and 5 minutes, respectively. On the third day of life, the newborn presented with erythematous and indurated plaques on the axillary region, posterior trunk, buttocks, and thighs, as well as irritability. The clinical diagnosis of subcutaneous fat necrosis (SCFN) was established. Due to the very limited availability of bloods tests in the considered hospital setting, it was not possible to monitor blood calcium levels. The newborn was discharged on day ten, with clinical improvement.
These cases are usually self-limited, but their management can be difficult without adequate resources. Still, SCFN should be diagnosed and managed to the best of available resources.
Downloads
References
Fontes N, Amaral B, Oliveira A, Selores M, Pontes M, Coelho E. Complicação tardia de um parto traumático. Nascer e Crescer 2014;23(3):161-3. Disponível em: http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0872-07542014000500009&lng=pt.
Mitra S, Dove J, Somisetty S. Subcutaneous fat necrosis in newborn—an unusual case and review of literature. Eur J Pediatr 2011;170(9):1107-10.
Monteiro R, Paulos L, Margatho M, Pereira M, Dinis A, Winckler L. Necrose Gorda, uma Complicação de Hipotermia Induzida. Acta Pediatr Port 2015;46:140-3.
Shah M, Stojan J. Case 1: Weight Loss and Hypercalcemia in a Female Neonate. Neoreviews 2016;17:e279-e281.
Vali P, Lakshminrusimha S. Case 2: Beware of Lumps and Bumps after Cooling!. Neoreviews 2017;18:e441-e444.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Sara Isabel De Almeida, Hugo Cavaco
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright and access
This journal offers immediate free access to its content, following the principle that providing free scientific knowledge to the public provides greater global democratization of knowledge.
The works are licensed under a Creative Commons Attribution Non-commercial 4.0 International license.
Nascer e Crescer – Birth and Growth Medical Journal do not charge any submission or processing fee to the articles submitted.