Erythematous lumps in a newborn: Challenges in specific settings
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25753/BirthGrowthMJ.v32.i2.23928 |
Resumo: | A term female newborn weighing 4190 g was born by cesarean section due to prolonged labor and meconium-stained fluid in a regional hospital in Guinea-Bissau. Bag-mask ventilation was required, and Apgar scores were six and eight at 1 and 5 minutes, respectively. On the third day of life, the newborn presented with erythematous and indurated plaques on the axillary region, posterior trunk, buttocks, and thighs, as well as irritability. The clinical diagnosis of subcutaneous fat necrosis (SCFN) was established. Due to the very limited availability of bloods tests in the considered hospital setting, it was not possible to monitor blood calcium levels. The newborn was discharged on day ten, with clinical improvement. These cases are usually self-limited, but their management can be difficult without adequate resources. Still, SCFN should be diagnosed and managed to the best of available resources. |
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Erythematous lumps in a newborn: Challenges in specific settingsNódulos eritematosos num recém-nascido: Desafios em contextos particularesImaging CasesA term female newborn weighing 4190 g was born by cesarean section due to prolonged labor and meconium-stained fluid in a regional hospital in Guinea-Bissau. Bag-mask ventilation was required, and Apgar scores were six and eight at 1 and 5 minutes, respectively. On the third day of life, the newborn presented with erythematous and indurated plaques on the axillary region, posterior trunk, buttocks, and thighs, as well as irritability. The clinical diagnosis of subcutaneous fat necrosis (SCFN) was established. Due to the very limited availability of bloods tests in the considered hospital setting, it was not possible to monitor blood calcium levels. The newborn was discharged on day ten, with clinical improvement. These cases are usually self-limited, but their management can be difficult without adequate resources. Still, SCFN should be diagnosed and managed to the best of available resources.Um recém-nascido de termo do sexo feminino com 4190 g nasceu por cesariana devido a trabalho de parto prolongado e líquido amniótico com mecónio num hospital regional da Guiné-Bissau. Foi necessária ventilação com insuflador e máscara e o índice de Apgar foi de seis e oito ao primeiro e quinto minutos, respetivamente. No terceiro dia de vida, o recém-nascido apresentou placas duras e eritematosas na região axilar, dorso, região glútea e coxas acompanhadas de irritabilidade e foi colocada a hipótese diagnóstica de necrose gorda subcutânea (NGS). Devido ao facto de os recursos neste contexto serem muito limitados, não foi possível monitorizar os níveis de cálcio. O recém-nascido teve alta ao décimo dia de vida, com melhoria clínica. Estes casos são habitualmente autolimitados, mas a sua abordagem pode ser difícil sem os recursos adequados. Ainda assim, a NGS deve ser diagnosticada e orientada da melhor forma possível perante os recursos disponíveis.Centro Hospitalar Universitário de Santo António2023-09-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v32.i2.23928eng2183-9417Almeida, Sara Isabel DeCavaco, Hugoinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-09-21T17:00:22Zoai:ojs.revistas.rcaap.pt:article/23928Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:29:16.150940Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Erythematous lumps in a newborn: Challenges in specific settings Nódulos eritematosos num recém-nascido: Desafios em contextos particulares |
title |
Erythematous lumps in a newborn: Challenges in specific settings |
spellingShingle |
Erythematous lumps in a newborn: Challenges in specific settings Almeida, Sara Isabel De Imaging Cases |
title_short |
Erythematous lumps in a newborn: Challenges in specific settings |
title_full |
Erythematous lumps in a newborn: Challenges in specific settings |
title_fullStr |
Erythematous lumps in a newborn: Challenges in specific settings |
title_full_unstemmed |
Erythematous lumps in a newborn: Challenges in specific settings |
title_sort |
Erythematous lumps in a newborn: Challenges in specific settings |
author |
Almeida, Sara Isabel De |
author_facet |
Almeida, Sara Isabel De Cavaco, Hugo |
author_role |
author |
author2 |
Cavaco, Hugo |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Almeida, Sara Isabel De Cavaco, Hugo |
dc.subject.por.fl_str_mv |
Imaging Cases |
topic |
Imaging Cases |
description |
A term female newborn weighing 4190 g was born by cesarean section due to prolonged labor and meconium-stained fluid in a regional hospital in Guinea-Bissau. Bag-mask ventilation was required, and Apgar scores were six and eight at 1 and 5 minutes, respectively. On the third day of life, the newborn presented with erythematous and indurated plaques on the axillary region, posterior trunk, buttocks, and thighs, as well as irritability. The clinical diagnosis of subcutaneous fat necrosis (SCFN) was established. Due to the very limited availability of bloods tests in the considered hospital setting, it was not possible to monitor blood calcium levels. The newborn was discharged on day ten, with clinical improvement. These cases are usually self-limited, but their management can be difficult without adequate resources. Still, SCFN should be diagnosed and managed to the best of available resources. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-14 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25753/BirthGrowthMJ.v32.i2.23928 |
url |
https://doi.org/10.25753/BirthGrowthMJ.v32.i2.23928 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2183-9417 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Centro Hospitalar Universitário de Santo António |
publisher.none.fl_str_mv |
Centro Hospitalar Universitário de Santo António |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133559952244736 |