A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate

A 3,480 g male neonate showed tachypnea symptom with a serum ionized calcium level of 0.66 mmol/L by routine clinical analysis. He was injected calcium gluconate intravenously through femoral vein catheter to treat the hypocalcemia. On second day after the injection, he started to show erythema in t...

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Autores principales:	Kwang Hyeon Ahn, Eun Soo Park
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society of Plastic and Reconstructive Surgeons 2021
Materias:	piscine skin acellular matrix kerecis calcinosis cutis infant, newborn Surgery RD1-811
Acceso en línea:	https://doaj.org/article/8d5f708b7ca4427a99b1d170d1f346d9
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spelling	oai:doaj.org-article:8d5f708b7ca4427a99b1d170d1f346d92021-11-25T06:04:37ZA rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate2234-61632234-617110.5999/aps.2020.01942https://doaj.org/article/8d5f708b7ca4427a99b1d170d1f346d92021-11-01T00:00:00Zhttp://www.e-aps.org/upload/pdf/aps-2020-01942.pdfhttps://doaj.org/toc/2234-6163https://doaj.org/toc/2234-6171A 3,480 g male neonate showed tachypnea symptom with a serum ionized calcium level of 0.66 mmol/L by routine clinical analysis. He was injected calcium gluconate intravenously through femoral vein catheter to treat the hypocalcemia. On second day after the injection, he started to show erythema in the flank area. The lesion became firm and changed into whitish crust consist of small crystals. Abdominal X-ray and ultrasonography showed the accumulation of calcium deposit in the subcutaneous layer of the lesion. Surgical debridement was performed to remove the crust with calcium deposit and acellular fish skin graft rich in omega-3 (Kerecis) was applied to the defect site for secondary intention of the defect wound. After 2 months, the skin and soft tissue defect were fully covered with healthy normal skin without depression or contracture. This report is a first case of iatrogenic calcinosis cutis without extravasation symptom.Kwang Hyeon AhnEun Soo ParkKorean Society of Plastic and Reconstructive Surgeonsarticlepiscine skin acellular matrixkereciscalcinosis cutisinfant, newbornSurgeryRD1-811ENArchives of Plastic Surgery, Vol 48, Iss 6, Pp 641-645 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	piscine skin acellular matrix kerecis calcinosis cutis infant, newborn Surgery RD1-811
spellingShingle	piscine skin acellular matrix kerecis calcinosis cutis infant, newborn Surgery RD1-811 Kwang Hyeon Ahn Eun Soo Park A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate
description	A 3,480 g male neonate showed tachypnea symptom with a serum ionized calcium level of 0.66 mmol/L by routine clinical analysis. He was injected calcium gluconate intravenously through femoral vein catheter to treat the hypocalcemia. On second day after the injection, he started to show erythema in the flank area. The lesion became firm and changed into whitish crust consist of small crystals. Abdominal X-ray and ultrasonography showed the accumulation of calcium deposit in the subcutaneous layer of the lesion. Surgical debridement was performed to remove the crust with calcium deposit and acellular fish skin graft rich in omega-3 (Kerecis) was applied to the defect site for secondary intention of the defect wound. After 2 months, the skin and soft tissue defect were fully covered with healthy normal skin without depression or contracture. This report is a first case of iatrogenic calcinosis cutis without extravasation symptom.
format	article
author	Kwang Hyeon Ahn Eun Soo Park
author_facet	Kwang Hyeon Ahn Eun Soo Park
author_sort	Kwang Hyeon Ahn
title	A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate
title_short	A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate
title_full	A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate
title_fullStr	A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate
title_full_unstemmed	A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate
title_sort	rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate
publisher	Korean Society of Plastic and Reconstructive Surgeons
publishDate	2021
url	https://doaj.org/article/8d5f708b7ca4427a99b1d170d1f346d9
work_keys_str_mv	AT kwanghyeonahn ararecasereportofneonatalcalcinosiscutisinducedbydistantanddelayedextravasationofintravenouscalciumgluconate AT eunsoopark ararecasereportofneonatalcalcinosiscutisinducedbydistantanddelayedextravasationofintravenouscalciumgluconate AT kwanghyeonahn rarecasereportofneonatalcalcinosiscutisinducedbydistantanddelayedextravasationofintravenouscalciumgluconate AT eunsoopark rarecasereportofneonatalcalcinosiscutisinducedbydistantanddelayedextravasationofintravenouscalciumgluconate
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A rare case report of neonatal calcinosis cutis induced by distant and delayed extravasation of intravenous calcium gluconate

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