All issues > Volume 25(6); 1982

Case Report

J Korean Pediatr Soc. 1982;25(6):622-627. Published online June 30, 1982.

Hyperviscosity Syndrome in Newborn.

Yong Soon Kim¹, Sook Hee Lee¹, Ja Hoon Koo¹, Doo Hong Ahn¹

¹Department of Pediatrics School of Medicine, Kyungpook National University Taegu, Korea.

Abstract

We experienced Hyperviscosity syndrome in 5 newborn infants during 6 months period from August 1980 to January 1981. Diagnosis was made on the basis of characteristic clinical symp-toms along with polythemia. The following results were obtained. Sex in 5 affected infants showed male in 2 and female in 3. And gestational age showed preterm in 3 and full term in 2 cases. Predisposing factors were intertwin transfusion in 1, placental insufficiency with maternal to-xemia in 2(one of which was accompained with interwin transfusion) and small for gestational age in 1. Signs and symptoms associated with hyperviscosity syndrome were cyanosis in 3, dyspnea in 2, lethargy in 2, plethora in 1, hypocalcemia in 4, hypoglycemia in 2 and hyperbilirubinemia in 2 cases. Partial exchange transfusion was done in all cases, resulting in improvement of polycythem-ia and clinical condition, except 1 expired case.

Keywords :Hyperviscosity syndrome;newborn;polycythemia;partial exchange transfusion