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February 1978

Cutaneous and Urinary Complications of Central Umbilical Artery Injection

Author Affiliations

Lyon, France

Arch Dermatol. 1978;114(2):286-287. doi:10.1001/archderm.1978.01640140094029

To the Editor.—  V. E. Cutler and G. S. Stretcher (Archives 113:61-63, 1977) reported a case of unilateral cutaneous necrosis of the buttock of an infant after catheterization of the umbilical artery.We had the occasion to observe a similar incident with a newborn infant who had mistakenly received directly, via the umbilical artery, a hypertonic solution (Figure). A skin biopsy specimen, carried out eight days after the injection, showed an extensive calcification at the level of the lesions. These calcium deposits were observed in the papillary dermis at the dermoepidermal junction, where there existed in some parts an abscess formation around the sweat glands and the hair follicles and in the adipose subcutaneous tissues. Twelve Infant's buttock eight days after the direct umbilical artery injection. days after the injection, urography showed a ureterohydronephrosis on the right side with a shelled calcification of the bladder.The cutaneous lesions healed in