Velázquez González E, Podoswa Martínez G, Cruz Islas R
Bol Med Hosp Infant Mex. 1978 Jul-Aug;35(4):653-8.
A case of gangrene of the right lower limb is reported in a 6 hours of age newborn with satisfactory course following management based on the prevention of possible infections and on maintaining good general conditions. World literature is reviewed finding only 50 cases reported of gangrene of the newborn. Guidelines are established to determine an integral diagnosis of the disease and to carry out a correct differential diagnosis. It is concluded that the etiology of this entity is unknown, although a number of factors are invoked. However, most of these factors imply thromboembolic disturbances that may be either of maternal origin, of the product or mixed. Stress in placed on the necessity that the pediatrician becomes not only thoroughly acquainted with these processes, but also, that he develops the capacity to carry out an early diagnosis and management since these may be guidelines for a satisfactory evolution of the problem.