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Susana Leal-Khouri, MD; Susan B. Mallory, MD; Joan C. Downey, MD, MPH

Arch Dermatol. 1996;132(12):1509-1510.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 2.4-kg boy of 39 weeks' gestational age was born to a 27-year-old grava 3, para 1, abortus 1 white woman. The antenatal period was uncomplicated. At 1 hour of life, he developed bilateral pneumothoraces, which were treated with chest tubes. On the second day of life, he developed jaundice (Figure 1), edema, and oliguria. Bleeding from peripheral intravenous sites was noted. Neurologically, he was normal. Laboratory examination revealed the following values: ferritin, 560 µg/L (reference range, 11-12 µg/L); iron, 29 µmol/L (164 µg/dL) (reference range, 7-25 µmol/L [40-140 µg/dL]); conjugated bilirubin, 144 µmol/L (8.4 mg/dL); prothrombin time, greater than 80 seconds; and partial thromboplastin time, greater than 120 seconds. Hepatic transaminase levels and a complete blood cell count were within normal limits. Because of the patient's coagulopathy, a liver biopsy was contraindicated. A biopsy specimen was obtained from the patient's lower lip (Figure 2 and . . . [Full Text PDF of this Article]

Author Affiliations
Washington University, St Louis, Mo

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