RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Marciniak, Bruno A1 Dalens, Bernard J. SR Print(0) ID 58086407 T1 Sclerema Neonatorum T2 Syndromes: Rapid Recognition and Perioperative Implications YR 2006 FD 2006 PB The McGraw-Hill Companies PP New York, NY SN 9780071354554 LK accessanesthesiology.mhmedical.com/content.aspx?aid=58086407 RD 2024/10/04 AB Half of affected infants are premature. They are often of low birth weight (<2500 g), cyanotic, and with low Apgar scores. Physical findings appear suddenly, first on thighs and buttocks and spreading rapidly to all parts of the body except hands, soles, and genitalia. The skin is firm to hard and purplish in color. Skin cannot be pitted or picked up. Temperature instability, restricted respiration, difficulty in feeding, and decreased spontaneous movement are characteristics.