[THE CHALLENGE OF DIAGNOSING RARE LIFE THREATENING SKIN LESIONS]

Area of Science:

• Neonatal dermatology
• Pediatric neurology
• Vascular malformations

Background:

• Skin lesions are common in newborns, but a necrotic plaque with neurological deficits requires urgent evaluation.
• This case highlights a rare presentation in a preterm infant (35 weeks gestation).

Observation:

• A well-demarcated, necrotic plaque on the right forearm was observed at birth.
• Neurological deficits were present, necessitating immediate diagnostic workup.
• The infant experienced focal seizures and was later diagnosed with cerebral palsy.

Findings:

• The infant received multidisciplinary care including antibiotics, blood products, anticoagulation, and physiotherapy.
• Initial treatment showed improvement, but motor restrictions persisted.
• The working diagnosis of Congenital Volkmann Ischemic Contracture (CVIC) was established.

Implications:

• Congenital Volkmann Ischemic Contracture (CVIC) is a rare but serious condition.
• Prompt diagnosis and intervention are critical for optimal prognosis in CVIC.
• Increased awareness among clinicians is essential for timely management of CVIC and its sequelae.