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Images in neonatal medicine
Neonatal purpura fulminans due to protein C deficiency
  1. Shreya Sharma,
  2. Jagadeesh Anbazhagan,
  3. Nishad Plakkal
  1. Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
  1. Correspondence to Dr Nishad Plakkal, Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry-605006, India; plakkal{at}gmail.com

https://doi.org/10.1136/archdischild-2015-308238

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    A 3-day-old term male neonate born of third-degree consanguineous marriage was admitted with purplish black, oval tender lesions with erythematous rim on both soles and left hip. He was normothermic, haemodynamically stable and feeding well. However, new gangrenous lesions appeared on his fingers soon after admission. C-reactive protein was negative. Complete blood count revealed a platelet count of 73 000/mm3 with normal haematocrit and leucocyte count. Prothrombin time and activated partial thromboplastin …

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    Footnotes

    • Contributors SS, JA and NP: managed the patient. SS: reviewed the literature and drafted the initial version of the manuscript. NP and JA: contributed to literature review and critically revised the manuscript. All authors contributed to drafting of the manuscript and approved the final version of the manuscript. NP will act as guarantor of the paper.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.