Sclerema Neonatorum in a Term Infant: A Case Report and Literature Review

Sclerema neonatorum (SN) is a rare form of panniculitides with an obscure incidence, aetiology, and pathogenesis. This condition is peculiar to preterm neonates, especially those with comorbidities such as sepsis, congenital anomalies, congenital heart disease, and gastrointestinal and respiratory d...

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Main Authors: Gloria Nakalema, Walufu Ivan Egesa, Patrick Kumbowi Kumbakulu, Martin Nduwimana, Amnia Diaz Anaya, Mirembe Stephen Kizito, Daniel Kavuma
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2020/8837064
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author Gloria Nakalema
Walufu Ivan Egesa
Patrick Kumbowi Kumbakulu
Martin Nduwimana
Amnia Diaz Anaya
Mirembe Stephen Kizito
Daniel Kavuma
author_facet Gloria Nakalema
Walufu Ivan Egesa
Patrick Kumbowi Kumbakulu
Martin Nduwimana
Amnia Diaz Anaya
Mirembe Stephen Kizito
Daniel Kavuma
author_sort Gloria Nakalema
collection DOAJ
description Sclerema neonatorum (SN) is a rare form of panniculitides with an obscure incidence, aetiology, and pathogenesis. This condition is peculiar to preterm neonates, especially those with comorbidities such as sepsis, congenital anomalies, congenital heart disease, and gastrointestinal and respiratory diseases. Usually, it presents within the first seven days of life, but may develop a few weeks later. Typically, SN manifests with diffuse hardening of the skin and subcutaneous tissues that subsequently bind to the underlying muscle and bone, often beginning in the buttocks, thighs, or trunk, and progressing to other body parts, but sparing the soles, palms, and genitalia. Diagnosis is based on clinical characteristics. It has been associated with a high mortality, despite aggressive use of various treatment modalities such as antibiotics, steroids, fresh blood transfusion, exchange blood transfusion, and intravenous immunoglobins. This is a report of a macrosomic term neonate who presented with typical clinical and histopathological features of SN.
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institution Kabale University
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language English
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publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-4708f7aee14c41b1a51f4b83f2d2bbbe2025-02-03T01:28:08ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/88370648837064Sclerema Neonatorum in a Term Infant: A Case Report and Literature ReviewGloria Nakalema0Walufu Ivan Egesa1Patrick Kumbowi Kumbakulu2Martin Nduwimana3Amnia Diaz Anaya4Mirembe Stephen Kizito5Daniel Kavuma6Department of Paediatrics and Child Health, Faculty of Clinical Medicine and Dentistry, Kampala International University, Kampala, UgandaDepartment of Paediatrics and Child Health, Faculty of Clinical Medicine and Dentistry, Kampala International University, Kampala, UgandaDepartment of Paediatrics and Child Health, Faculty of Clinical Medicine and Dentistry, Kampala International University, Kampala, UgandaDepartment of Paediatrics and Child Health, Faculty of Clinical Medicine and Dentistry, Kampala International University, Kampala, UgandaDepartment of Pathology, Faculty of Clinical Medicine and Dentistry, Kampala International University, Kampala, UgandaDepartment of Dermatology, Faculty of Clinical Medicine and Dentistry, Kampala International University, Kampala, UgandaDepartment of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University, Kampala, UgandaSclerema neonatorum (SN) is a rare form of panniculitides with an obscure incidence, aetiology, and pathogenesis. This condition is peculiar to preterm neonates, especially those with comorbidities such as sepsis, congenital anomalies, congenital heart disease, and gastrointestinal and respiratory diseases. Usually, it presents within the first seven days of life, but may develop a few weeks later. Typically, SN manifests with diffuse hardening of the skin and subcutaneous tissues that subsequently bind to the underlying muscle and bone, often beginning in the buttocks, thighs, or trunk, and progressing to other body parts, but sparing the soles, palms, and genitalia. Diagnosis is based on clinical characteristics. It has been associated with a high mortality, despite aggressive use of various treatment modalities such as antibiotics, steroids, fresh blood transfusion, exchange blood transfusion, and intravenous immunoglobins. This is a report of a macrosomic term neonate who presented with typical clinical and histopathological features of SN.http://dx.doi.org/10.1155/2020/8837064
spellingShingle Gloria Nakalema
Walufu Ivan Egesa
Patrick Kumbowi Kumbakulu
Martin Nduwimana
Amnia Diaz Anaya
Mirembe Stephen Kizito
Daniel Kavuma
Sclerema Neonatorum in a Term Infant: A Case Report and Literature Review
Case Reports in Pediatrics
title Sclerema Neonatorum in a Term Infant: A Case Report and Literature Review
title_full Sclerema Neonatorum in a Term Infant: A Case Report and Literature Review
title_fullStr Sclerema Neonatorum in a Term Infant: A Case Report and Literature Review
title_full_unstemmed Sclerema Neonatorum in a Term Infant: A Case Report and Literature Review
title_short Sclerema Neonatorum in a Term Infant: A Case Report and Literature Review
title_sort sclerema neonatorum in a term infant a case report and literature review
url http://dx.doi.org/10.1155/2020/8837064
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