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Congenital Volkmann ischaemic contracture: a case report and review. Br J Dermatol 2004 Feb;150(2):357-63

Date

03/05/2004

Pubmed ID

14996111

DOI

10.1111/j.1365-2133.2004.05817.x

Scopus ID

2-s2.0-1542716641 (requires institutional sign-in at Scopus site)   38 Citations

Abstract

Congenital Volkmann ischaemic contracture or neonatal compartment syndrome has rarely been discussed in the literature of dermatology. The condition often involves the upper extremity with cutaneous lesions, contractures and neuropathy. Because the lesions can be mistaken for other entities including necrotizing fasciitis, neonatal gangrene, congenital varicella, aplasia cutis congenita, amniotic band syndrome, subcutaneous fat necrosis and epidermolysis bullosa, dermatologists play a significant role in the diagnosis and, consequently, the treatment of the patient. We describe a premature newborn who had a unilateral, well-demarcated necrotic plaque with a central pallor at birth. The plaque extended circumferentially over the left forearm from the wrist to the elbow. Left wrist oedema, bullae over the fingers and flaccid paralysis at the wrist were also noted.

Author List

Cham PM, Drolet BA, Segura AD, Esterly NB

Author

Annette D. Segura MD Adjunct Assistant Professor in the Pathology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Compartment Syndromes
Diagnosis, Differential
Edema
Female
Fingers
Humans
Infant, Newborn
Necrosis
Wrist