Neonate with a pale, cold, pulseless arm: A case series

This is a case series of two neonates born in the UK with pale, pulseless, cold upper limbs that resolved with glyceryl trinitrate and heparin use. Both neonates had resolution of this presumed vasospasm and ischaemia prior to discharge from the neonatal unit.

Dr Suchika Garg
Paediatric SHO

Dr Freja Mahler
Paediatric Registrar

Dr Dhruv Rastogi
Paediatric Consultant

Dr Amit Verma
Neonatal Consultant
amit.verma2@nhs.net

Department of Paediatrics, North Middlesex University Hospital, London

Garg S., Mahler F., Rastogi D., Verma A. Neonate with a pale, cold, pulseless arm: A case series. Infant 2025; 21(2): 65-67.

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Keywords

pale limb; acute limb ischaemia; monochorionic diamniotic twins

Key points

Spontaneous acute limb ischaemia is rare in the neonatal period.
Causes can be divided into intrauterine or postnatal.
Currently, there is no standardised treatment pathway for these patients.

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VOLUME 8/ISSUE 6, NOVEMBER 2012

A case of monozygous preterm twins with gastroschisis

Gastroschisis is a structural defect present at birth in which part of the abdominal wall is missing, allowing the intestines and other organs to protrude through the opening. This article highlights a rare case of gastroschisis affecting a set of monozygous preterm twins. The proposed aetiology of gastroschisis is reviewed alongside a discussion of how this case report might contribute to current understanding of the pathogenesis of the condition.