Unusual Presentation of Calcinosis Cutis: Venous Calcification Following intravenous Calcium Gluconate Administration in a Preterm Baby
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Neonatal hypocalcemia is not uncommon, especially in premature neonates. It isusually treated by intravenous calcium gluconate administration. However, complicationscaused by the extravasation of intravenous calcium gluconate include calcinosiscutis, calcium deposition in the dermis, which is irritating to soft tissues andcan produce tissue necrosis. We report a case of iatrogenic calcinosis cutis in a 27-dayoldpreterm baby following the extravasation of calcium gluconate. In this case,calcinosis cutis occurred along the venous pathway in a rare vascular calcificationpattern but spontaneously resolved 2 months later. Although iatrogenic calcinosiscutis is generally benign, early recognition of the extravasation of calcium gluconate isimportant to avoid severe complications. This report aimed to provide a warningabout the risks associated with intravenous calcium gluconate and information aboutthe course of a rare presentation of the common disease calcinosis cutis with vascularcalcification.
Abstract
Neonatal hypocalcemia is not uncommon, especially in premature neonates. It isusually treated by intravenous calcium gluconate administration. However, complicationscaused by the extravasation of intravenous calcium gluconate include calcinosiscutis, calcium deposition in the dermis, which is irritating to soft tissues andcan produce tissue necrosis. We report a case of iatrogenic calcinosis cutis in a 27-dayoldpreterm baby following the extravasation of calcium gluconate. In this case,calcinosis cutis occurred along the venous pathway in a rare vascular calcificationpattern but spontaneously resolved 2 months later. Although iatrogenic calcinosiscutis is generally benign, early recognition of the extravasation of calcium gluconate isimportant to avoid severe complications. This report aimed to provide a warningabout the risks associated with intravenous calcium gluconate and information aboutthe course of a rare presentation of the common disease calcinosis cutis with vascularcalcification.
참고문헌 (20)
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