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We present a newborn, delivered at week 38 of gestation because of pathological cardiotocographic record with an Apgar score of 1 point at 1 and 5 min of birth, requiring resuscitation. Skin examination revealed multiple papules and erythematous–violaceous nodules with a vascular appearance distributed on the trunk and extremities (figure 1A–C). Thrombocytopenia was present (67 200/µL) with normal coagulation. The CT scan (figure 1D,E) revealed a large right thoracic mass with an extensive cerebral bleeding, signs of hypoxaemic encephalopathy, that led to brain death at 5 days of life.
MT and IG-D are joint first authors.
Contributors MT and IGD share the first authorship since they have contributed equally to this article.
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.