LAUSR

We present the case of a preterm newborn, whose mother had medical history of systemic lupus erythematosus and antiphospholipid syndrome treated in pregnancy with enoxaparin, prednisolone, azathioprine and hidroxicloroquine. Routine ultrasonography at 28 weeks of gestation revealed cerebral artery blood flow changes and cerebral ventricular dilatation in the fetus. Elective caesarean section was performed at 28 weeks and 4 days of gestational age. In the neonatal intensive care unit, the newborn developed central catheter complications in four distinct situations. First, loss of right femoral pulse after the removal of a central arterial umbilical catheter was noticed. Doppler ultrasonography documented turbulence in the ipsilateral iliac artery. Afterwards, obstruction and local inflammatory signs recurrently appeared after the insertion of three different polyurethane epicutaneo-cava …