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Adiponecrosis Subcutanea Neonatorum. Presented by Dr. Howard Fox.
W. G., a boy aged 6 weeks, is the first child of a mother aged 27. He weighed 7¾ pounds (3,515 Gm.) at birth. Labor lasted twenty-eight hours; the cord was wound twice around the neck. A forceps was not used, and no resuscitation measures were necessary. The lesions were first noticed three weeks after the patient's birth. The greater part of the eruption is symmetrically situated on the buttocks, on the postero-external aspect of the thighs and legs and to a much less extent on the inner aspects of the legs. In these locations the eruption consists of diffuse hard subcutaneous areas which are sharply defined and insensitive to touch and do not pit on pressure. The overlying skin is normal in color. There are also a few pea-sized indurations at the nape of the neck and on the extensor aspects
Bechet P, Traub EF. NEW YORK DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1937;36(4):889–898. doi:10.1001/archderm.1937.01480040206023