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Title of Journal: Eur J Pediatr

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Abbravation: European Journal of Pediatrics

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Springer-Verlag

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10.1006/viro.2002.1640

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1432-1076

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Purpura fulminans in a newborn infant with galacto

Authors: Aysegul Zenciroglu Mehmet Sah Ipek Mustafa Aydin Abdurrahman Kara Nurullah Okumus Mustafa Kilic
Publish Date: 2009/12/17
Volume: 169, Issue: 7, Pages: 903-906
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Abstract

An 11dayold neonate presented with purpura fulminans and was subsequently diagnosed with galactosemia Neonatal purpura fulminans occurs predominantly in patients suffering from inherited protein C deficiency or disseminated intravascular coagulation associated with septicemia Hemostatic changes in patients with liver disease may result in bleeding or rarely thrombosis We suppose that in the present patient deficiency of protein C secondary to liver disease was responsible for the development of purpura fulminans Treatment consisted of blood and blood products and galactosefree formula The patient recovered with residual mild psychomotor retardation and the lesions with minimal scarring In conclusion galactosemia also should be kept in mind as an uncommon cause of purpura fulminans in newborn infantsWe thank Prof Matthias Baumgartner from the Division of Metabolism Molecular Pediatrics University Children’s Hospital Zürich Switzerland for his valuable contribution by measurement of the erythrocyte galactose1phosphate uridyltransferase enzyme activity

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