INTRAUTERINE VASCULAR DEFICIENCY OF THE UPPER-LIMB

We report six cases of intrauterine vascular deficiency of the upper l imb, presenting over a 12-year period, with established areas of necro sis at the time of birth. Three of the six mothers were diabetic. Gn u rgent examination of the neonate should be done to exclude occult syst emic thomboses, as early anticoagulation or thrombolytic therapy may b e indicated. The majority of cases were managed conservatively with dr essings and splintage of the limb; exceptionally surgical intervention was required. Long-term sequelae included flexion contractures and sh ortening of the forearm bones.