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Year : 2020  |  Volume : 21  |  Issue : 1  |  Page : 11-14

Neonatal subcutaneous fat necrosis as a close differential of neonatal sepsis: Case report and review of literature

1 Department of Paediatrics, NDMC Medical College and Hindu Rao Hospital, Delhi, India
2 Department of Obstetrics and Gynaecology, NDMC Medical College and Hindu Rao Hospital, Delhi, India

Correspondence Address:
Dr Garima Sachdeva
House No-201, Top Floor, Dr Mukherjee Nagar, Delhi - 110 009
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijpd.IJPD_79_19

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Subcutaneous fat necrosis (SCFN) in a newborn is a rare self-limiting disorder associated with fatty tissue inflammation, mostly seen in term and postterm neonates. It is usually seen in the 1st week following a complicated delivery and is associated with lethargy, irritability, hypotonia, polyuria, polydipsia, vomiting, dehydration, and constipation. These neonates develop hypercalcemia, and C-reactive protein is persistently elevated. These features mimic neonatal sepsis. The characteristic lesions of SCFN are multiple erythematous nodules and these can guide to the final diagnosis. Here, we report a case of SCFN, which was initially misdiagnosed as neonatal sepsis and highlights the need for early diagnosis and treatment to prevent long-term complications. A literature search was done using PubMed, Medline, and Google Scholar databases using the mesh terms neonatal subcutaneous fat necrosis (SCFN) and subcutaneous fat necrosis (SFN).

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