Atlas of the Newborn

O’Doherty, Neil

doi:10.1007/978-94-011-7330-8

Cited by 4 publications

(3 citation statements)

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“…Cutaneous calcification was described as early as 1877 by Louis Duhring (1), but solitary congenital nodular calcification was not defined as an entity until 1952 (2). The association between calcified nodular lesions on the heel and heel sticks was first made in 1979 by O'Doherty (3) and is now well recognized (4–7). The lesions are characteristically asymptomatic, single or multiple, papulonodular, white or yellowish specks localized to the skin of the heel.…”

Section: Discussionmentioning

confidence: 99%

Calcified Cutaneous Nodules on the Heels of Children: A Complication of Heel Sticks as a Neonate

Williamson

Holt

2001

Pediatric Dermatology

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We report the presence of calcified nodules on the heels secondary to heel sticks in healthy monozygotic twins in childhood. The subjects were born preterm at 34 weeks. The heels were normal at birth. While in the hospital, they underwent multiple heel sticks as a means of venesection. The wounds failed to heal normally and warty lesions developed. Calcified cutaneous nodules secondary to heel sticks have been reported primarily in high-risk, preterm infants. There have also been two reports of their development in normal healthy infants. To date, all reported lesions have been asymptomatic, with spontaneous resolution by 18-30 months. These cases indicate that such lesions can in fact be chronic, extending into childhood, when they may become symptomatic. Dermatologists should therefore consider this diagnosis as a cause of warty, calcified nodules on the heel in childhood as well as in infants and in neonates.

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Section: Discussionmentioning

confidence: 99%

Calcified Cutaneous Nodules on the Heels of Children: A Complication of Heel Sticks as a Neonate

Williamson

Holt

2001

Pediatric Dermatology

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“…T he first association between heel sticks to draw blood in the neonatal period and the development of calcified nodules of the heel was made by O'Doherty 1 and has since been fairly well-recognized in the neonatology community. Most reports of this entity have described it in association with high-risk neonates receiving multiple heel sticks in the nursery.…”

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confidence: 99%

“…Lesions may be multiple or solitary, white or yellowish verrucous papules or nodules, which are firm and often tender. [1][2][3][4][5][6][7][8][9][10] Typically, the lesions appear 4 to 12 months after birth [4][5][6][7] as multiple tiny specks that gradually enlarge and either persist or spontaneously extrude through the epidermis. Spontaneous resolution may occur within 18 to 30 months, 4,5,7,8 yet recurrence following removal with curettage has been reported.…”

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confidence: 99%