Late traumatic birth complication
Keywords:Cutaneous lesions, hypercalcaemia, newborn, subcutaneous fat necrosis
Introduction: Subcutaneous fat necrosis is a rare transient disorder of adipose tissue mostly affecting term or post-term newborns with perinatal complications.
Case report: Full-term neonate, large for gestational age, with a complicated vaginal birth, requiring resuscitation. Skin lesions compatible with NGTS, which resolved without complications, were noted at 13 days of life.
Discussion: We report a case of subcutaneous fat necrosis with a benign evolution, just to remind this uncommon entity. The pathogenesis is poorly understood and although it tends to resolve spontaneously, an eventful associated hypercalcaemia >may have a fatal outcome.
Gold DL. Perceived Fevers and Back Pain in a 1-week-old Infant. Pediatrics in Review 2011; 32:27-30.
Lapa P, Campos J, Henriques R. Necrose gorda subcutânea do Recém-nascido. Saúde Infantil 2006; 28:49-52.
Corrêa M, Zaniboni MC, Ypiranga S, Arruda LHF. Caso para diagnóstico. An Bras Dermatol 2008; 83:269-70.
Pielop JA. Skin nodules in newborns and infants. Uptodate; Jan 2010.
Vijayakumar M, Prahlad N, Nammalwar BR, Shanmughasundharam R. Subcutaneous Fat Necrosis with Hypercalcemia. Indian Pediatr 2006; 43:360-3.
Dudink J, Walther FJ, Beekman RP. Subcutaneous fat necrosis of the newborn: hypercalcaemia with hepatic and atrial myocardial calcifi cation. Arch Dis Child Fetal Neonatal Ed 2003; 88:F343–F345.
Bautista CR, Moraga Llop FA. Asociación Española de Pediatría - Protocolos de dermatologia. Recien nascido: lesiones cutaneas benignas transitórias. 2007; 309-16.
Lewis HM, Ferryman S, Gatrad AR, Moss C. Subcutaneous fat necrosis of the newborn associated with hypercalcaemia. J R Soc Med 1994; 87;482-3.
Cabral JEB, Ayres SS, Ferreira LCB, Albertoni DR. Necrose gordurosa do subcutâneo ou adipo necrose de recém-nascido. Descrição de um caso. J Pediatr (Rio) 1994; 70:178-80.
Norton KI, Som PM, Shugar JMA, Rothchild MA, Popper L. Subcutaneous fat necrosis of the newborn: CT fi ndings of head and neck involvement. AJNR Am J Neuroradiol 1996; 18:547-50.
Bellini C, Oddone M, Biscaldi E, Serra G. Radiological case of the month. Arch Pediatr Adolesc Med 2001; 155:1381-2.
How to Cite
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.