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Jeffrey E. Packer, MD; Howard J. Naidech, MD; Lionel W. Young, MD

Am J Dis Child. 1984;138(5):505-506.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 2.3-kg female infant was born by spontaneous vaginal delivery with Apgar scores of 1 and 7 at one and five minutes, respectively. Cyanosis was present, as was a grade 2/6 systolic murmur. Cardiac catheterization on day 4 of life was diagnostic of truncus arteriosus. Abnormal laboratory findings included hypocarboxemia (carbon dioxide content, 18 mEq/L), and hypocalcemia (calcium level, 5.8 mEq/L); these improved slightly with intravenous (IV) calcium gluconate. Congestive heart failure was treated with digoxin, furosemide, and spironolactone. A chest roentgenogram was performed at 4 weeks of age (Fig 1), and a collimated view of the right arm (Fig 2) was obtained at 6 weeks of age.

Denouement and Discussion

Soft-Tissue Calcification Caused by Calcium Gluconate Extravasation

Soft-tissue calcification caused by extravasation of calcium gluconate solutions has been recognized since 1936.¹ Evidence of soft-tissue injury may not be apparent for several weeks, and skin sloughing may occur.² . . . [Full Text PDF of this Article]

Author Affiliations
Contributed from the Department of Diagnostic Radiology, Division of Pediatric Radiology, Hahnemann Medical College and Hospital, Philadelphia.

Footnotes
Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr L. W. Young).

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