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Soft tissue and perivisceral calcification occurring in an infant: a case of brown fat necrosis

J N P Higgins, MRCP, FRCR ^* J A A Haddock, MRCP, FRCR and D G Shaw, FRCP, FRCR

Department of Radiology, Hospital for Sick Children, Great Ormond Street, London WC1N 3JH, UK

Fat necrosis is a well described cause of widespread subcutaneous calcification occurring in a young infant. In this condition the radiographic demonstration of soft tissue calcification is often dramatic but is clinically irrelevant since the diagnosis is usually evident without recourse to radiology. Visceral fat necrosis and calcification, in the absence of hypercalcaemia, have been reported occasionally in association with sub-cutaneous fat necrosis. We report a case with calcification largely confined to deep perivisceral sites without clinical signs of subcutaneous fat necrosis.

^* Present addresses: The Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG

St George's Hospital, Blackshaw Road, London SW17.

Received for publication April 10, 1992. Revision received July 20, 1992. Accepted for publication November 2, 1992.

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