PubMed · 15460464
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H Charlanne, P Y Hatron, P Zerbib, M Lambert, D Launay, V Queyrel, E Hachulla, B Devulder. 2004. [A real scheming!].. https://doi.org/10.1016/s0248-8663(04)80017-1
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Subcutaneous fat necrosis of the newborn is an uncommon, benign process in full-term infants or postmature neonates who experienced a perinatal distress. It is a transient condition of unknown origin; however, hypercalcemia may be a potentially life-threatening complication of this otherwise self-healing process. We report two cases of subcutaneous fat necrosis and discuss the clinical features, etiology, and complications of the disease.
Two newborn infant girls, both born after a complicated delivery, developed painful skin lesions. They were diagnosed with subcutaneous fat necrosis of the newborn. This is an uncommon and often very painful skin condition of which the aetiology is unknown. These babies have erythematous red-purple firm and painful subcutaneous nodules of fat necrosis. The disease usually runs a favourable course, treatment consisting mainly of supportive measures and adequate pain relief. However, thrombocytopenia and hypercalcaemia are complications which may be life-threatening if not treated adequately. Both neonates developed thrombocytopenia and symptomatic hypercalcaemia. Both newborns recovered after a prolonged period of hypercalcaemia but were left with scars.