综合报道

新生儿皮下脂肪坏死1 例报告及文献回顾

  • 周晓光 ,
  • 王贝贝 ,
  • 周晓玉
展开
  • 南京医科大学附属南京儿童医院( 江苏南京 210008)

收稿日期: 2014-11-15

  网络出版日期: 2014-11-15

Subcutaneous fat necrosis in neonate: a case report and literature review

  • ZHOU Xiaoguang ,
  • WANG Beibei ,
  • ZHOU Xiaoyu
Expand
  • Nanjing Children's Hospital of Nanjing Medical University, Nanjing 210008, Jiangsu, China

Received date: 2014-11-15

  Online published: 2014-11-15

摘要

 目的 探讨新生儿皮下脂肪坏死(ScFN)的诊断与治疗。方法 回顾性分析1例ScFN患儿的临床资料,并结合文献分析ScFN的病因、发病机制、鉴别诊断等。结果 女性患儿, 足月剖宫产,生后2 d因背部、肩部皮下硬结半天入院,抗感染治疗不佳。入院第10天患儿背部硬结局部出现软化、波动,局部穿刺液镜检示少量炎症细胞浸润,脂肪细胞变性,诊断为ScFN。随访2月肿块消退,全身状况良好。结论 ScFN是一种良性脂肪疾病,大多发生在有异常分娩史的足月新生儿,常发生于生后4周内,为自限性疾患,预后良好。

本文引用格式

周晓光 , 王贝贝 , 周晓玉 . 新生儿皮下脂肪坏死1 例报告及文献回顾[J]. 临床儿科杂志, 2014 , 32(11) : 1048 . DOI: 10.3969 j.issn.1000-3606.2014.11.012

Abstract

Objective To investigate diagnostic methods and treatment of subcutaneous fat necrosis in neonate (ScFN). Methods The clinical data of a case with ScFN was reported and the etiology, pathogenesis, and differential diagnosis were reviewed. Results The case was a 2 days female newborn delivered via cesarean section at full-term, and she came to hospital because of indurated nodules and plaques in the back and shoulders. Anti-infection treatment after admission was not effective. On the 10th day in hospital, the back lesions appear as soft and fluctuant and then diagnosed as ScFN by biopsy which showed a small amount of inflammatory cell infiltration and fatty degeneration. The patient was followed up with good prognosis. Conclusions ScFN is a benign self-limiting fat disease, mostly occurred in the first four weeks of full-term newborns with history of abnormal childbirth.
文章导航

/