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Images in neonatal medicine
A neonate with a ‘milky’ blood. What can it be?
  1. Andrea Bordugo1,
  2. Eva Carlin1,
  3. Sergio Demarini2,
  4. Flavio Faletra3,
  5. Franco Colonna1
  1. 1 Pediatric Unit, St ‘Maria dei Battuti Hospital’, AOSMA, S.Vito al Tagliamento, Italy
  2. 2 Neonatal Intensive Care Unit, Institute for Maternal and Child Health-IRCCS ‘Burlo Garofolo’, Trieste, Italy
  3. 3 Department of Genetics, Institute for Maternal and Child Health-IRCCS ‘Burlo Garofolo’, Trieste, Italy
  1. Correspondence to Dr Andrea Bordugo, Pediatric Unit, St ‘Maria dei Battuti Hospital’, Via Savorgnano 2, S.Vito al Tagliamento 33078, Italy; abordugo{at}hotmail.com

http://dx.doi.org/10.1136/archdischild-2014-305940

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    A 17-days-old, breast fed, female neonate presented with low-grade fever (37.8°C) and no obvious clinical signs. A blood sample, drawn for a sepsis work-up, appeared viscous and with a purple shade. After centrifugation, serum appeared white and creamy (figure 1A, B). Cholesterol was 29 mmol/L, HDL-cholesterol 0.54 mmol/L, triglycerides were 218 mmol/L. Apolipoprotein A 5.53 μmol/L and apolipoprotein B 0.08 g/L. …

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    Footnotes

    • Contributors All the authors contributed to the planning, conduct, and reporting of the work described in the article.

    • Competing interests None.

    • Patient consent Obtained.

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