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2014, Number 4

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Rev Med MD 2014; 5.6 (4)

Fat necrosis in a newborn. Case Report

De la Torre-Gutiérrez M, Padilla-Muñoz H, Pérez Rulfo-Ibarra D, Castillo-Villarruel F, Angulo-Castellanos E, Campos-Sierra A, Barrera-Sánchez FJ, Stanley-Lucero MA, Alfaro-Castellanos DE, García-Magdaleno PE, Pérez-Gómez HR
Full text How to cite this article

Language: Spanish
References: 4
Page: 248-250
PDF size: 934.15 Kb.


Key words:

Fat necrosis, panniculitis, newborn.

ABSTRACT

Subcutaneous fat necrosis in the newborn is a transitory lobular panniculitis that might be induced by cutaneous hypoxemia and adipocyte necrosis. The lesions usually manifest within the first two weeks of age, could be unique or multiple and present as indurated hypodermic nodules with lobular surface that tend to appear in the areas possessing adipose cushions. This is a case of a 10-days-old female newborn who presented at the six days of age erythematosusviolet nodules, defined on shoulders and both upper and lower limbs, not painful, not hyperthermal. We carried out a biopsy in the left arm's nodule reporting fat necrosis with cell detritus, calcium deposits, lymphohistiocytic infiltrate and mature residual adipose cells. Neither microorganisms nor glanulomas were identified and there is no data suggesting malignity. Favorably, our patient presented a satisfactory evolution, with spontaneous resolution to lesions and without presenting complications.


REFERENCES

  1. Avayú H, Rodríguez C, Wortsman C, Corredoira S, Serman V, Strauch BG, et al. Necrosis grasa del recién nacido: a propósito de un caso. .. s.l. : Rev Chil Pediatr, 2009; 80: 60-64.

  2. J., Cuervo. Necrosis grasa subcutánea del recién nacido. Re. Revista del Hospital de Niños de Buenos Aires. 2002;44:196.

  3. Thao Tran J, Sheth A: Complications of Subcutaneous Fat Necrosis of the Newborn: A Case Report and Review of the Literature. Pediatr Dermatol 2003; 20: 257-61. .

  4. Anderson DR, Narla LD, Dunn NL:. Subcutaneous fat necrosis of the newborn. s.l. : Pediatr Radiol ; 29: 794-6, 1999.




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Rev Med MD. 2014;5.6