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新生儿皮下脂肪坏死:伴有肝脏和心房心肌钙化的高钙血症。

Subcutaneous fat necrosis of the newborn: hypercalcaemia with hepatic and atrial myocardial calcification.

作者信息

Dudink J, Walther F J, Beekman R P

机构信息

Department of Paediatrics, Divisions of Neonatology and Paediatric Cardiology, Leiden University Medical Center, Leiden, The Netherlands.

出版信息

Arch Dis Child Fetal Neonatal Ed. 2003 Jul;88(4):F343-5. doi: 10.1136/fn.88.4.f343.

Abstract

Subcutaneous fat necrosis of the newborn (SCFN) is a very rare disorder, which can be complicated by hypercalcaemia and thrombocytopenia. The case is presented of an infant with SCFN and symptomatic hypercalcaemia, who developed calcifications in the liver, the inferior vena cava, and the atrial septum of the heart. The hypercalcaemia was treated with hyperhydration, frusemide, glucocorticoids, and a diet low in calcium and vitamin D. Clinical features, diagnosis, complications, and treatment of this rare condition are discussed.

摘要

新生儿皮下脂肪坏死(SCFN)是一种非常罕见的病症,可并发高钙血症和血小板减少症。本文报告了一例患有SCFN和症状性高钙血症的婴儿病例,该婴儿在肝脏、下腔静脉和心脏房间隔出现了钙化。通过补液、使用速尿、糖皮质激素以及低钙和低维生素D饮食对高钙血症进行了治疗。本文还讨论了这种罕见病症的临床特征、诊断、并发症及治疗方法。

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