A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate
A 3,480 g male neonate showed tachypnea symptom with a serum ionized calcium level of 0.66 mmol/L by routine clinical analysis. He was injected calcium gluconate intravenously through femoral vein catheter to treat the hypocalcemia. On second day after the injection, he started to show erythema in t...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2021-11-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01942 |
| _version_ | 1811278378803658752 |
|---|---|
| author | Kwang Hyeon Ahn Eun Soo Park |
| author_facet | Kwang Hyeon Ahn Eun Soo Park |
| author_sort | Kwang Hyeon Ahn |
| collection | DOAJ |
| description | A 3,480 g male neonate showed tachypnea symptom with a serum ionized calcium level of 0.66 mmol/L by routine clinical analysis. He was injected calcium gluconate intravenously through femoral vein catheter to treat the hypocalcemia. On second day after the injection, he started to show erythema in the flank area. The lesion became firm and changed into whitish crust consist of small crystals. Abdominal X-ray and ultrasonography showed the accumulation of calcium deposit in the subcutaneous layer of the lesion. Surgical debridement was performed to remove the crust with calcium deposit and acellular fish skin graft rich in omega-3 (Kerecis) was applied to the defect site for secondary intention of the defect wound. After 2 months, the skin and soft tissue defect were fully covered with healthy normal skin without depression or contracture. This report is a first case of iatrogenic calcinosis cutis without extravasation symptom. |
| first_indexed | 2024-04-13T00:34:34Z |
| format | Article |
| id | doaj.art-8d5f708b7ca4427a99b1d170d1f346d9 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T00:34:34Z |
| publishDate | 2021-11-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-8d5f708b7ca4427a99b1d170d1f346d92022-12-22T03:10:23ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712021-11-01480664164510.5999/aps.2020.019423916A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconateKwang Hyeon Ahn0Eun Soo Park1Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, KoreaDepartment of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, KoreaA 3,480 g male neonate showed tachypnea symptom with a serum ionized calcium level of 0.66 mmol/L by routine clinical analysis. He was injected calcium gluconate intravenously through femoral vein catheter to treat the hypocalcemia. On second day after the injection, he started to show erythema in the flank area. The lesion became firm and changed into whitish crust consist of small crystals. Abdominal X-ray and ultrasonography showed the accumulation of calcium deposit in the subcutaneous layer of the lesion. Surgical debridement was performed to remove the crust with calcium deposit and acellular fish skin graft rich in omega-3 (Kerecis) was applied to the defect site for secondary intention of the defect wound. After 2 months, the skin and soft tissue defect were fully covered with healthy normal skin without depression or contracture. This report is a first case of iatrogenic calcinosis cutis without extravasation symptom.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01942piscine skin acellular matrixkereciscalcinosis cutisinfant, newborn |
| spellingShingle | Kwang Hyeon Ahn Eun Soo Park A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate Archives of Plastic Surgery piscine skin acellular matrix kerecis calcinosis cutis infant, newborn |
| title | A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate |
| title_full | A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate |
| title_fullStr | A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate |
| title_full_unstemmed | A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate |
| title_short | A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate |
| title_sort | rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate |
| topic | piscine skin acellular matrix kerecis calcinosis cutis infant, newborn |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.01942 |
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