By Arnold J. Rudolph M.D., Arnold J. Rudolph MD
This is often a part of a striking 5-volume set representing the lifestyles paintings of the main meticulous photographic archivist in neonatology. Over the process forty years, Dr. Rudolph amassed images of just about each disorder, affliction, and affecting the infant. jointly they act as a uniquely robust diagnostic device.
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Extra resources for Atlas of the newborn. / Vol. 4, Dermatology and perinatal infection
The condition occurs as a result of absence of lymphatics and is always confined to the legs and feet. 141. Lymphangioma simplex of the anterior chest present at birth in an infant. There are four major forms of lymphangiomas: lymphangioma simplex, lymphangioma circumscriptum, cavernous lymphangioma, and cystic hygroma. Lymphangioma simplex is a solitary, well-circumscribed, flesh-colored dermal or subcutaneous tumor. It may occur anywhere on the subcutaneous or mucosal surface and is seen most commonly on the neck, upper trunk, proximal extremities and tongue.
55. During delivery of this infant with a breech presentation there was much manipulation and handling. He developed severe generalized subcutaneous fat necrosis which presented as numerous ecchymotic lesions with marked induration of the skin. Any handling of this infant resulted in pain and discomfort. Over a period of several weeks the subcutaneous fat necrosis improved but the infant developed hypercalcemia. 8 mg/dL. 56. This infant delivered by emergency cesarean birth was an extremely difficult delivery and on the 4th day of life he developed an area of subcutaneous fat necrosis over each buttock as noted in the top panel.
They do not resolve spontaneously. Surgical treatment may be complicated and recurrences are uncommon following complete removal. 147. 146. Note the extent of involvement of the neck and mouth. 148. This infant with a massive diffuse lymphangioma (elephantiasis congenita angiomatosis or elephantiasis lymphangiectatica) had severely compromised respiration from the tumor and required tracheostomy. Note the large area of nevus present superficially over the anterior part of the chest. Biopsy diagnosis was a hemangiolymphoma.