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2015 ; 2015
(ä): ä Nephropedia Template TP
BMJ Case Rep
2015[Jul]; 2015
(ä): ä PMID26177996
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Hypercalcaemia in neonates is rare and often asymptomatic, but can have
significant morbidity. If severe, it can cause symptoms including irritability,
vomiting and seizures. We present the case of a baby girl, born at term after a
traumatic delivery, who developed severe hypercalcaemia with nephrocalcinosis.
She had several large areas of subcutaneous fat necrosis following delivery, with
prolonged low-level elevation of C reactive protein. Subcutaneous fat necrosis of
the newborn is a rare and underdiagnosed condition, often accompanied by high
plasma calcium. Although self-limiting, it is important to recognise and treat
this condition to minimise kidney damage, and to avoid unnecessary investigations
or treatment with long courses of antibiotics. The infant recovered well,
although a degree of nephrocalcinosis remains.