Neonatal purpura fulminans in newborn with severe congenital protein C deficiency: Case report

Neonatal purpura fulminans (PF) is a rare, life-threatening condition, caused by congenital or acquired deficiencies of protein C or S. PF describes a clinico-pathological entity of dermal microvascular thrombosis associated with disseminated intravascular coagulation (DIC) and perivascular hemorrha...

Full description

Bibliographic Details
Main Authors: Sultan A. Jafarri, Khalid M. AlAttas, Sultan M. Bajawi, Mohammad K. Ahsan, Ali M. Al-Sheikh, Mohammed A. Buraik, Amr Mohammed Gamal, Nadia S. Mustafa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-07-01
Series:Journal of Dermatology and Dermatologic Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352241016300275
_version_ 1818505971511590912
author Sultan A. Jafarri
Khalid M. AlAttas
Sultan M. Bajawi
Mohammad K. Ahsan
Ali M. Al-Sheikh
Mohammed A. Buraik
Amr Mohammed Gamal
Nadia S. Mustafa
author_facet Sultan A. Jafarri
Khalid M. AlAttas
Sultan M. Bajawi
Mohammad K. Ahsan
Ali M. Al-Sheikh
Mohammed A. Buraik
Amr Mohammed Gamal
Nadia S. Mustafa
author_sort Sultan A. Jafarri
collection DOAJ
description Neonatal purpura fulminans (PF) is a rare, life-threatening condition, caused by congenital or acquired deficiencies of protein C or S. PF describes a clinico-pathological entity of dermal microvascular thrombosis associated with disseminated intravascular coagulation (DIC) and perivascular hemorrhage occurring in the newborn period. Here we describe a newborn with PF due to severe congenital protein C deficiency. The lesions started 5 h after birth but the infant was brought to our emergency department 20 h later. The infant was admitted in neonatal intensive care unit (NICU) and treated with fresh frozen plasma (FFP), enoxaparin along with other supportive cares. In spite of impressive improvement of skin lesions, coordination with numerous subspecialties and aggressive NICU support, the infant died one month after admission due to multiorgan failure and septicaemia.
first_indexed 2024-12-10T21:58:07Z
format Article
id doaj.art-181beee716554973a824aa89bc6d1049
institution Directory Open Access Journal
issn 2352-2410
language English
last_indexed 2024-12-10T21:58:07Z
publishDate 2017-07-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Dermatology and Dermatologic Surgery
spelling doaj.art-181beee716554973a824aa89bc6d10492022-12-22T01:31:59ZengWolters Kluwer Medknow PublicationsJournal of Dermatology and Dermatologic Surgery2352-24102017-07-0121210410610.1016/j.jdds.2016.10.001Neonatal purpura fulminans in newborn with severe congenital protein C deficiency: Case reportSultan A. Jafarri0Khalid M. AlAttas1Sultan M. Bajawi2Mohammad K. Ahsan3Ali M. Al-Sheikh4Mohammed A. Buraik5Amr Mohammed Gamal6Nadia S. Mustafa7Department of Dermatology, King Fahad Central Hospital, Jizan, Saudi ArabiaDepartment of Dermatology, King Fahad Central Hospital, Jizan, Saudi ArabiaDepartment of Dermatology, King Fahad Central Hospital, Jizan, Saudi ArabiaDepartment of Dermatology, King Fahad Central Hospital, Jizan, Saudi ArabiaDepartment of Dermatology, King Fahad Central Hospital, Jizan, Saudi ArabiaDepartment of Dermatology, King Fahad Central Hospital, Jizan, Saudi ArabiaDepartment of Dermatology, King Fahad Central Hospital, Jizan, Saudi ArabiaDepartment of Dermatology, King Fahad Central Hospital, Jizan, Saudi ArabiaNeonatal purpura fulminans (PF) is a rare, life-threatening condition, caused by congenital or acquired deficiencies of protein C or S. PF describes a clinico-pathological entity of dermal microvascular thrombosis associated with disseminated intravascular coagulation (DIC) and perivascular hemorrhage occurring in the newborn period. Here we describe a newborn with PF due to severe congenital protein C deficiency. The lesions started 5 h after birth but the infant was brought to our emergency department 20 h later. The infant was admitted in neonatal intensive care unit (NICU) and treated with fresh frozen plasma (FFP), enoxaparin along with other supportive cares. In spite of impressive improvement of skin lesions, coordination with numerous subspecialties and aggressive NICU support, the infant died one month after admission due to multiorgan failure and septicaemia.http://www.sciencedirect.com/science/article/pii/S2352241016300275NeonatalPurpura fulminansCongenitalProtein C deficiency
spellingShingle Sultan A. Jafarri
Khalid M. AlAttas
Sultan M. Bajawi
Mohammad K. Ahsan
Ali M. Al-Sheikh
Mohammed A. Buraik
Amr Mohammed Gamal
Nadia S. Mustafa
Neonatal purpura fulminans in newborn with severe congenital protein C deficiency: Case report
Journal of Dermatology and Dermatologic Surgery
Neonatal
Purpura fulminans
Congenital
Protein C deficiency
title Neonatal purpura fulminans in newborn with severe congenital protein C deficiency: Case report
title_full Neonatal purpura fulminans in newborn with severe congenital protein C deficiency: Case report
title_fullStr Neonatal purpura fulminans in newborn with severe congenital protein C deficiency: Case report
title_full_unstemmed Neonatal purpura fulminans in newborn with severe congenital protein C deficiency: Case report
title_short Neonatal purpura fulminans in newborn with severe congenital protein C deficiency: Case report
title_sort neonatal purpura fulminans in newborn with severe congenital protein c deficiency case report
topic Neonatal
Purpura fulminans
Congenital
Protein C deficiency
url http://www.sciencedirect.com/science/article/pii/S2352241016300275
work_keys_str_mv AT sultanajafarri neonatalpurpurafulminansinnewbornwithseverecongenitalproteincdeficiencycasereport
AT khalidmalattas neonatalpurpurafulminansinnewbornwithseverecongenitalproteincdeficiencycasereport
AT sultanmbajawi neonatalpurpurafulminansinnewbornwithseverecongenitalproteincdeficiencycasereport
AT mohammadkahsan neonatalpurpurafulminansinnewbornwithseverecongenitalproteincdeficiencycasereport
AT alimalsheikh neonatalpurpurafulminansinnewbornwithseverecongenitalproteincdeficiencycasereport
AT mohammedaburaik neonatalpurpurafulminansinnewbornwithseverecongenitalproteincdeficiencycasereport
AT amrmohammedgamal neonatalpurpurafulminansinnewbornwithseverecongenitalproteincdeficiencycasereport
AT nadiasmustafa neonatalpurpurafulminansinnewbornwithseverecongenitalproteincdeficiencycasereport