2014, Number 1
Cuba y Salud 2014; 9 (1)
Pérez GJA, Martínez LO, García FY, Rodríguez RM, Jiménez ASE
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ABSTRACTNecrotic purple is not commonly seen in the neonatal period although cases have been described in breast-fed babies. Clinical manifestations are well delimitated, located in pressure zones that develop forming blisters and necrotic eschards quickly resulting in spread intravascular clotting, with high risk of thrombosis, neurological and ophthalmological complications and gangrene. The diagnosis is based on the clinical suspicion and determination of C and S levels of proteins. These proteins have low and variable levels in new-born babies, making the diagnosis difficult. The case shown in this paper is a typical example of the disease, which presented disseminated intravascular clotting, with a quick evolution of the hemorrhage.