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Subcutaneous fat necrosis in a neonate
  1. Sheethal Sujayeendra Kodagali1,
  2. Raj Narayanan Anantharaman2
  1. 1 Paediatrics, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK
  2. 2 Paediatrics, Oxford University Hospitals NHS Foundation Trust , Horton General Hospital, Banbury, UK
  1. Correspondence to Dr Sheethal Sujayeendra Kodagali, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford OX3 9DU, UK; sheethal.kodagali{at}gmail.com

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A term neonate was born by forceps extraction with meconium stained liquor. He was admitted to high dependency neonatal unit for respiratory distress (venous blood gas (VBG): pH—7.23, pCO2—6.18) and low blood sugars. He received intravenous antibiotics for 36 hours and discharged home on day 5 of life.

On day 11 of life, mother noticed a lump behind his left axilla with purplish discolouration (figure 1). More such lumps were noted in the next 4 days. Two firm purplish lumps measuring 3×3 cm on left posterior axilla and 2.5×2 cm on right posterior axilla were palpable (figure 2). Multiple palpable lumps of smaller size were noticed over his back up to the mid-thoracic region (figures 2 and 3).

Figure 1

Purplish lumpy nodule visualised clearly on the left axilla posteriorly.

Figure 2

Purplish lumpy nodules noticed on both the axillae posteriorly with knotty lumps seen on the back.

Figure 3

Purplish lumpy nodule noticed posteriorly …

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