A Case of Subcutaneous Fat Necrosis in Neonate with Meconium Aspiration Syndrome

태변 흡인 증후군 신생아에서의 피하지방괴사 1례

  • Hong, Mi Ae (Department of Pediatrics, Hanil General Hospital) ;
  • Oh, Kyung Chang (Department of Pediatrics, Hanil General Hospital) ;
  • Ahn, Seung In (Department of Pediatrics, Hanil General Hospital) ;
  • Shin, Hye Jung (Department of Pediatrics, Hanil General Hospital) ;
  • Chang, Jin Keun (Department of Pediatrics, Hanil General Hospital) ;
  • Lee, Byung Doo (Department of Pathology, Hanil General Hospital) ;
  • Kim, Beyong Il (Department of Pediatrics, College of Medicine, Seoul National University) ;
  • Choi, Jung-Hwan (Department of Pediatrics, College of Medicine, Seoul National University)
  • Received : 2002.06.21
  • Accepted : 2002.08.05
  • Published : 2002.11.15

Abstract

Subcutaneous fat necrosis in neonates is a rare disease characterized by skin lesions, which may be single or multiple, poorly circumscribed and often tender erythematous nodules or plaques on cheeks, buttocks, back, arms, and thighs. These symptoms are usually self-limited; resolution occurs over a period of weeks to months. Subcutaneous fat necrosis affects full term and healthy-appearing infants who have experienced perinatal distress such as hypoxic insult, birth trauma and hypothermia. Most skin lesions appear within the first two weeks of life. We experienced a case of subcutaneous fat necrosis in a neonate with hypoxic insult and report the case with a brief review of the literature.

저자들은 태아 곤란증 때문에 제왕절개한 과체중아로 저산소성 손상을 받은 태변 흡인 증후군 환아에서 생후 3-4일경에 어깨와 등에 여러 개의 홍반성의 결절과 반이 발생하였고 악화와 완화를 반복했으며 2-3회의 바늘 흡인(needle aspiration)을 시행하였고 합병증 없이 1세경 소실되었던 신생아 피하지방괴사 1례을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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