Definition: sclerema appearing at birth or in early infancy, usually in premature and hypothermic infants, as sharply demarcated and yellowish white indurated plaques that usually involve the cheeks, buttocks, shoulders, and calves; subcutaneous fat has a high proportion of saturated fatty acids; microscopically, there is thickening of interlobular fibrous tissue and formation of triglyceride crystals and foreign body giant cells; prognosis is poor for widespread lesions, but localized lesions may resolve slowly over a period of many months.
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