alexa A Sinister Cause of Bruising in a “Well” Neonate
ISSN: 2572-4983

Journal of Neonatal and Pediatric Medicine
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Case Report

A Sinister Cause of Bruising in a “Well” Neonate

Salameh KM*, Habboub L, Khatib H and Rajesh PV

Department of Pediatrics, Hamad Medical Corporation, Al Wakra Hospital, Qatar

*Corresponding Author:
Salameh KM
Department of Pediatrics
Hamad Medical Corporation
Al Wakra Hospital, Qatar
Tel: 0097440114258
E-mail: [email protected]

Received Date: January 5, 2017; Accepted Date: January 19, 2017; Published Date: January 26, 2017

Citation: Salameh KM, Habboub L, Khatib H, Rajesh PV (2017) A Sinister Cause of Bruising in a “Well” Neonate. Neonat Pediatr Med 3: 120. doi: 10.4172/2572-4983.1000120

Copyright: © 2017 Salameh KM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Neonatal purpura fulminans is a clinical entity characterised by echymotic skin lesions, consumptive coagulopathy and widespread micro and macro vascular thrombosis. This can be hereditary or secondary to acquired causes. Clinical presentation of hereditary Protein C deficiency can be solely limited to localised echymotic skin lesions in the early stage, with wide spread vascular thrombosis ensuing eventually, in the absence of timely Protein C replacement. A case of a neonate presenting with localised scalp ecchymosis at birth, that soon progressed to skin necrosis and renal vein thrombosis is discussed. The report aims to raise awareness among neonatologists regarding the need to consider this rare condition with potentially devastating consequences, while evaluating bruise-like skin lesions in neonates.


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