In the past year, 3 infants from a single hospital service developed a condition following the description of sclerema neonatorum. Sclerema appeared to be a major factor in the deaths of two of the infants. Because so little attention has been paid this process in surgical literature, it seems pertinent to report the experience with these 3 patients and to review the more recent literature.
Report of Cases
—A white male infant was brought to the Hospital at 3 days of age. Details of birth and past history were not available. Physical examination on admission revealed a 4 lb. 6½ oz. (2 kg.) infant with a rectal temperature of 95 F. The baby was cyanotic and moderately dehydrated and appeared acutely ill. There was obvious respiratory distress, with coarse rales and rhonchi audible throughout the chest. Subcutaneous tissue over the buttocks and lower extremities was cold, firm, and