Subcutaneous fat necrosis requiring plastic surgical intervention in an infant treated with whole-body cooling
We report an infant who developed subcutaneous fat necrosis of the newborn (SCFN) secondary to cooling treatment for hypoxic ischaemic encephalopathy (HIE). While SCFN is usually self-limiting, this patient went on to develop a large haematoma on his back with overlying skin necrosis necessitating d...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-03-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587817300670 |
| _version_ | 1818065083040792576 |
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| author | Leonie Heskin Muhammad Adil Abbas Khan Poh Hua Ho Tim Burge |
| author_facet | Leonie Heskin Muhammad Adil Abbas Khan Poh Hua Ho Tim Burge |
| author_sort | Leonie Heskin |
| collection | DOAJ |
| description | We report an infant who developed subcutaneous fat necrosis of the newborn (SCFN) secondary to cooling treatment for hypoxic ischaemic encephalopathy (HIE). While SCFN is usually self-limiting, this patient went on to develop a large haematoma on his back with overlying skin necrosis necessitating debridement and split thickness skin grafting. Initially, the area affected on his back showed a number of small fluctuant swellings. By day 16 after birth, theses swellings coalesced to form a large 15 cm × 19 cm haematoma with a tense, shiny skin overlying it. On day 17, the large swelling was drained in theatre and a drain was left in situ. Total calcium blood level was raised at 4 mmol/l and he was managed with Pamidronate infusion. Postoperatively, examination of the back showed a 5 cm necrotic area in the centre of the back, and affected area was debrided along with a split skin graft applied to the exposed area. |
| first_indexed | 2024-12-10T14:46:15Z |
| format | Article |
| id | doaj.art-ddbc10a11acc4076939c1162a7e2b882 |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-12-10T14:46:15Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-ddbc10a11acc4076939c1162a7e2b8822022-12-22T01:44:34ZengElsevierJPRAS Open2352-58782018-03-0115C616510.1016/j.jpra.2017.10.006Subcutaneous fat necrosis requiring plastic surgical intervention in an infant treated with whole-body coolingLeonie Heskin0Muhammad Adil Abbas Khan1Poh Hua Ho2Tim Burge3Plastic Surgery Department, Frenchay Hospital, Bristol, UKPlastic Surgery Department, Frenchay Hospital, Bristol, UKPlastic Surgery Department, Frenchay Hospital, Bristol, UKPlastic Surgery Department, Frenchay Hospital, Bristol, UKWe report an infant who developed subcutaneous fat necrosis of the newborn (SCFN) secondary to cooling treatment for hypoxic ischaemic encephalopathy (HIE). While SCFN is usually self-limiting, this patient went on to develop a large haematoma on his back with overlying skin necrosis necessitating debridement and split thickness skin grafting. Initially, the area affected on his back showed a number of small fluctuant swellings. By day 16 after birth, theses swellings coalesced to form a large 15 cm × 19 cm haematoma with a tense, shiny skin overlying it. On day 17, the large swelling was drained in theatre and a drain was left in situ. Total calcium blood level was raised at 4 mmol/l and he was managed with Pamidronate infusion. Postoperatively, examination of the back showed a 5 cm necrotic area in the centre of the back, and affected area was debrided along with a split skin graft applied to the exposed area.http://www.sciencedirect.com/science/article/pii/S2352587817300670Subcutaneous fat necrosisInfantNewbornHypercalcaemia |
| spellingShingle | Leonie Heskin Muhammad Adil Abbas Khan Poh Hua Ho Tim Burge Subcutaneous fat necrosis requiring plastic surgical intervention in an infant treated with whole-body cooling JPRAS Open Subcutaneous fat necrosis Infant Newborn Hypercalcaemia |
| title | Subcutaneous fat necrosis requiring plastic surgical intervention in an infant treated with whole-body cooling |
| title_full | Subcutaneous fat necrosis requiring plastic surgical intervention in an infant treated with whole-body cooling |
| title_fullStr | Subcutaneous fat necrosis requiring plastic surgical intervention in an infant treated with whole-body cooling |
| title_full_unstemmed | Subcutaneous fat necrosis requiring plastic surgical intervention in an infant treated with whole-body cooling |
| title_short | Subcutaneous fat necrosis requiring plastic surgical intervention in an infant treated with whole-body cooling |
| title_sort | subcutaneous fat necrosis requiring plastic surgical intervention in an infant treated with whole body cooling |
| topic | Subcutaneous fat necrosis Infant Newborn Hypercalcaemia |
| url | http://www.sciencedirect.com/science/article/pii/S2352587817300670 |
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