Diagnostic Dilemma

Subcutaneous Fat Necrosis


Author: Pediatric Oncall
Question
A 1½ month old girl born of non consanguineous marriage presented with fever for 5 days, thickening of skin over back, arms since 15 days of life. She was a post term caesarean section with meconium aspiration and required ventilatory support postnatally and required NICU stay for 15 days. She is immunized till OPV & BCG and is on exclusive breast feeds. On examination, the child was irritable, weight of 4-25 kg with subcutaneous fat necrosis over back, arms and thighs and crepitations in right lower zone. Other systems are normal.

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