Prenatal pressure necrosis of the scalp.
A case of full-thickness pressure necrosis of the scalp in a newborn is reported. This is a rare injury, with only four similar prior reports found in the literature. The presumed mechanism of injury is pressure of the infant's head against the mother's bony pelvis. A spectrum of injury can be seen, from temporary alopecia to complete scalp necrosis. Risk factors include prolonged ruptured membranes and prolonged labor.
Cooper Hospital University Medical Center, Robert Wood Johnson Medical School at Camden, NJ 08103, USA.
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Matthews
D002675:Child, Preschool; D003646:Debridement; D004420:Dystocia / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007511:Ischemia / Q000209:etiology / Q000601:surgery; D008297:Male; D009336:Necrosis; D011247:Pregnancy; D011312:Pressure; D012086:Reoperation; D012535:Scalp / Q000098:blood supply / Q000473:pathology* / Q000601:surgery; D016038:Skin Transplantation