A late preterm infant was born to a diabetic mother on a background of reduced fetal movements and a poor CTG. It was noted immediately at birth that there was pathology in both upper limbs. Targeted investigation led to the diagnosis of bilateral upper limb arterial thromboses. Prompt assessment and multidisciplinary discussion led to an individualised management plan resulting in a positive outcome.
- neonatal and paediatric intensive care
- haematology (incl blood transfusion)
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Contributors All authors were involved in patient care. TM was responsible for drafting and revising the manuscript. VN and TS were responsible for critical revisions. We are very grateful to the child and their family for allowing us to use this material.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.