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신생아 피하지방 괴사의 영상의학적 소견: 증례 보고

Subcutaneous Fat Necrosis of the Newborn: A Case Report

  • 김성희 (인제대학교 의과대학 상계백병원 영상의학교실)
  • Kim, Soung Hee (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine)
  • 투고 : 2017.06.09
  • 심사 : 2017.08.12
  • 발행 : 2018.01.01

초록

신생아 피하지방 괴사는 생후 수주 내에 나타나는 드문 질환으로 등, 엉덩이, 넓적다리, 팔, 뺨 등에 호발하며 단단하고 경계가 잘 지어지는 자색을 띄는 붉은색의 피하결절로 나타난다. 임상 경과는 별다른 치료 없이 자연소실 되지만 혈소판 감소증, 저혈당, 고중성지질혈증, 고칼슘혈증 등이 동반될 수 있다. 저자는 생후 35일된 여아에서 발생한 고칼슘혈증과 신석회증을 동반한 피하지방 괴사의 초음파 검사와 자기공명영상 소견을 보고하고자 한다.

Subcutaneous fat necrosis (SFN) in newborns is a rare disease that affects infants in the first few weeks after birth. The lesion involves the back, buttocks, thighs, arms, and cheeks and it appears as a subcutaneous nodule in firm, well-defined, purplered manifestation. It is a self-limited disorder and follows an uncomplicated course, but serious complications may occur such as thrombocytopenia, hypoglycemia, hypertriglyceridemia, and hypercalcemia. I am reporting a case of ultrasonographic and MR imaging findings of SFN in a 35-day-old girl with hypercalcemia and medullary nephrocalcinosis.

키워드

참고문헌

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