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January 1985

Perinatal Gangrene of the Buttock: A Spontaneous Condition

Author Affiliations

Department of Dermatology General Hospital Valencia, Spain

Arch Dermatol. 1985;121(1):23-24. doi:10.1001/archderm.1985.01660010027007

To the Editor.—  Neonatal gangrene of the buttock is a rare condition mainly due to iatrogenic causes. Most cases occur after umbilical artery catheterization,1,2 exchange transfusions,3 and cord injections by means of syringes.4 Exceptional causes of gangene during the neonatal period include infections and hypernatraemic dehydration of infancy.5 The following case supports that perinatal gangrene of the buttock may also arise as a spontaneous condition.

Report of a Case.—  A 2-day-old male was delivered spontaneously at term with vertex presentation. His birth weight was 3,100 g. The mother, a 23-year-old woman (gravida 1), had no known medical problems prior to the delivery. Approximately 30 minutes after birth, a nurse noted a red patch on the left buttock and perineal region of the infant. During the next hours, the lesion became swollen, and a purple discoloration appeared and extended to the scrotum (Fig 1). Examination revealed a

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