Spontaneous Resolution of Iatrogenic Calcinosis Cutis after Parenteral Calcium Gluconate Therapy in Neonates
10.4055/jkoa.2019.54.2.192
- Author:
Kwang Soon SONG
1
;
Si Wook LEE
;
Du Han KIM
;
Kyung Keun MIN
;
Chang Jin YON
Author Information
1. Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea. skspos@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
calcinosis;
neonate;
hypocalcemia
- MeSH:
Administration, Intravenous;
Calcinosis;
Calcium Chloride;
Calcium Gluconate;
Calcium;
Cognition;
Dissent and Disputes;
Early Diagnosis;
Female;
Humans;
Hypocalcemia;
Infant, Newborn;
Intensive Care Units;
Lower Extremity;
Male;
Malpractice
- From:The Journal of the Korean Orthopaedic Association
2019;54(2):192-196
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Iatrogenic calcinosis cutis is due to the intravenous administration of calcium gluconate or calcium chloride to treat hypocalcemia. The arthors report three cases of calcinosis cutis with calcifications involving the upper or lower extremities in neonates following the extravasation of calcium gluconate. Three neonates, a 2-week-old girl, 4-week-old boy, and a 4-week-old girl, were consulted for indurated nodules after the intravenous administration of calcium gluconate at the intensive care unit. Complete remission of palpable nodule and calcification was observed on the radiograph at three weeks, four weeks and six months after the initial presentation in each. All three neonates with iatrogenic calcinosis curtis were resolved spontaneously without functional and cosmetic complications. According to enhancement of the patient's cognition about benign disease, a suitable explanation of the disease and avoiding unnecessary treatment through an early diagnosis of iatrogenic calcinosis cutis will reduce a number of potential medical malpractice disputes.
