SCLEREMA of newborns (sclerema neonatorum; Greek skleros firm, dense + oidema a tumor) — the condition of the newborn which is characterized by considerable diffusion consolidation of skin and hypodermic cellulose and emergence of hypostasis. Meets at premature children or children with exhaustion and dehydration more often.
The etiology and a pathogeny are finally not found out. A certain value has the long and sharp overcooling of an organism causing paresis of capillaries, and also dehydration.
The sclerema is characterized by emergence of diffusion consolidation of skin and hypodermic cellulose, is more often in muscles of a shin and on a face; in hard cases consolidation extends to hips, buttocks, upper extremities, a trunk. Skin is edematous, at first pale, then gets a cyanotic shade. Poles during the pressing on skin are not formed. The mask-like face, joints of a mandible are not mobile, the movements in extremities are limited. Body temperature is lowered, the general condition of the child is broken: slackness, drowsiness, shout weak is noted, appetite is reduced, breath is slowed down, bradycardia is observed. Increase in viscosity of blood, a leukocytosis, a hypoproteinemia, a hypernatremia is characteristic.
To distinguish a sclerema from scleredemas (see) sometimes difficult especially as they can occur at the same time at the same child.
The sick child is placed in couveuse (see), lay over hot-water bottles, apply heat baths. Appoint cardiacs, corticosteroids — Prednisolonum on 1 — 2 mg to 1 kg of the weight (weight) of a body with a gradual dose decline before full cancellation. The positive effect is rendered by hemotransfusions (on 10 — 15 ml in 3 — 5 days). At the same time carry out active treatment of a basic disease, at the same time appoint pharmaceuticals only inside since at introduction under skin they are not soaked up.
Prevention comes down to the prevention of overcooling of the newborn and development of diseases in it.
See also Swelled .
Bibliography: see the bibliography to St. Scleredema of newborns .
V. P. Bisyarina.