Subcutaneous Fat Necrosis in a Term Male Neonate with Perinatal Asphyxia : A Case Report
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 3
Abstract
Abstract: Subcutaneous fat necrosis (SCFN) is an uncommon and yet, a benign condition seen in full term neonates who experience perinatal asphyxia and or traumatic delivery. It is temporary, self limited condition of unknown pathophysiology. Characteristic lesions are indurated, erythematous nodules or plaques over the areas prone for pressure such as back, arms, buttocks, thighs and face. This condition is known to be associated with maternal disorders such as diabetes, pre-eclampsia and maternal substance abuse which leads to fetal hypoxia. Also, it is seen in perinatal complications like perinatal asphyxia, meconium aspiration syndrome, hypothermia, hypoxemia and hypoglycemia. The associated complications are anemia, thrombocytopenia, hypo or hypercalcemia. While the cutaneous lesions of SCFN are self limiting, the hypercalcemia might have a fatal outcome if unnoticed and untreated. Hereby we are reporting a 29 days old, term, male neonate with subcutaneous fat necrosis. A 29 days old male neonate was admitted with multiple, painful, erythematous and tender nodular lesions over the back and shoulders from tenth day of life. The neonate was born to a primi-gravida at term gestation by vaginal delivery, with birth weight of 2700gms. There was a history of prolonged labour and the neonate had perinatal asphyxia, no other maternal risk factors could be elicited. There was no history of birth trauma or other perinatal morbidities. However the infant had hypothermia. Investigations revealed positive sepsis screen, normocalcemia with anemia. Skin biopsy was consistent with SCFN. Infant received supportive care and the lesions regressed in follow up over a period of three months. In conclusion, we report a rare case of Subcutaneous fat necrosis in a term male neonate with perinatal asphyxia, hypothermia with normocalcemia and anemia. Keywords: Hypercalcemia, Neonate, Perinatal asphyxia, Subcutaneous Fat Necrosis.
Authors and Affiliations
Swathi Chacham, Syed Muzammil Hassan, Jakkampudi Nagasravani, Jillalla Narsing Rao, Uppin Narayan Reddy, A. S. Kumar
Keywords
Related Articles
- EP ID EP374860
- DOI -
- Views 92
- Downloads 0
Exploratory Study to Assess Depression, Anxiety and Stress among Medical Students in Consecutive Years of Under Graduation in a Medical College
It is an exploratory study to assess depression, anxiety and stress among medical students in consecutive years. The study included 302 medical students of consecutive semesters in C.U. Shah Medical College, who were ass...
Patterns & Problems of Menstruation amongst the Adolescent Girls Residing in the Urban Slum
Menstruation is a normal physiological phenomenon for females indicating her capability for procreation and abnormalities of menstruation are a major gynaecological problem in adolescence. However, variability in menstru...
Assessment of Autonomic Dysfunctions in Altered Thyroid Status by Time Domain Parameters of HRV
Thyroid hormone has important effects on the cardiovascular system. Many signs and symptoms recognized in patients with of thyroid disorders (hyperthyroidism and hypothyroidism) are due to the increased or reduced action...
Clinico-pathological profile of tuberculosis of the head and neck region from a tertiary care teaching hospital
Tuberculosis of the head and neck region may often mimic malignancy and misdiagnosed which leads to an unnecessary delay in diagnosis. Better understanding of this topic would help us to make early diagnosis thus timely...
Impact of Glycated Hemoglobin on Serum Triglycerides in Type 2 Diabetes Mellitus
Abstract: Diabetic patients have increased risk of dyslipidemia compared to normal subjects. This increased risk is attributable to the poor glycemic control in diabetic patients. Increased levels of triglycerides are as...