Table 2 Characteristics of all 4 neonates with SCFN
SCFN | Case 1 | Case 2 | Case 3 | Case 4 |
|---|---|---|---|---|
Sex | Female | Female | Male | Female |
Gestationalage[weeks] | 38 2/7 | 40 2/7 | 39 1/7 | 40 0/7 |
Birth weight [grams] | 3920 | 3480 | 3400 | 3190 |
Mode of delivery | Emergency caesarian section | Instrumental delivery | Instrumental delivery | Emergency caesarian section |
Age at appearance of SCFN [days] | 16 | 3 | 6 | 4 |
Cooling method applied | Passive plus ice packs | Passive plus ice packs | Active (Criticool System) | Active (Criticool System) |
Localization of SCFN | Left scapula region and dorsal upper arm | Back | Back | Upper back |
Appearance of SCFN | Red nodules, plaques | Red nodules, plaques | Palpablenodules, plaques | Red nodules, plaques |
Diagnosis by | Neonatologist | Neonatologist | Neonatologist | Neonatologist |
Therapy | Conservative | Conservative | Conservative | Hydration, low calcium formula, no vitamin D supplementation, analgesia |
Thrombocytopenia | No | No | No | No |
Hypoglycemia | No | No | No | No |
Calcium level ionized (total) [mmol/l] | 1.41 (2.49) | 1.33 | 1.5 | 1.54 (2.77) |
Follow-up | Yes | Yes | Yes | Yes |
Who | Pediatrician, pediatric surgeon | Pediatrician | Pediatrician | Pediatrician, endocrinologist |
Examination | Clinical follow-up | Clinical follow-up and calcium level | Clinical follow-up | Clinical follow-up, calcium level and ultrasound of kidneys |