What is scleredema neonatorum? Few people in the South have heard of scleredema. It is because of this symptom. It is often found in the north, especially in the premature born in winter, or in some babies with low weight. Newborn scleredema is generally related to poor warmth. So what are the symptoms of neonatal scleredema? Let's learn about it.
Scleredema neonatorum is a kind of syndrome caused by cold injury, infection or premature delivery. Among them, cold injury is the most common, which is called cold injury syndrome. The main manifestations of children are subcutaneous fatty sclerosis and edema.
Neonatal scleredema usually occurs in cold seasons, with high incidence of severe infection, asphyxia, premature delivery and low birth weight infants. Severe hypothermia and scleredema can lead to pulmonary hemorrhage, shock and multiple organ failure.
The symptoms of neonatal scleredema usually occur within 7-10 days after birth. The temperature of the newborn does not rise, generally below 35 . The temperature of the severe newborn will be lower than 30 , the temperature of the body nucleus (the temperature of the anus) may be lower than the temperature of the body surface (the temperature of the armpit). The newborn's skin and subcutaneous tissue will appear scleredema, and the skin color will be light red or dark red. The newborn patients with severe circulatory problems will suffer from scleredema It can be gray or blue purple.
Symptoms of scleredema first appear in the lower extremities, buttocks, cheeks and lower abdomen, then in the upper extremities and the whole body.Sometimes only hard not swollen, then the skin color is pale, like rubber, the scope is more limited, only affects the thigh and buttocks, this situation often occurs in infectious diseases caused by scleromatosis. Severe scleredema can cause shock, pulmonary hemorrhage and disseminated intravascular coagulation (DIC).
The diagnosis of scleredema depends on the history, clinical manifestations and laboratory examination results of the newborn,The diagnosis was divided into three criteria: mild, moderate and severe
light:The range of sclerema is less than 30%, the general condition of the whole body is slightly worse, the temperature of the newborn is more than 34 , and there is no shock, pulmonary hemorrhage, disseminated intravascular coagulation (DIC) and other symptoms.
Moderate:The range of sclerema is 30% - 50%. The general condition of the newborn is poor. The temperature of the newborn is 34 - 30 . Some children may have mild shock, pulmonary hemorrhage, disseminated intravascular coagulation (DIC) and other symptoms.
Severe:The range of sclerema is more than 50%, the general condition of the whole body is very poor, the temperature of the newborn is less than 30 , and the newborn will have shock, pulmonary hemorrhage, disseminated intravascular coagulation (DIC) and other symptoms.