{
  "abstract": "A baby girl aged 5 days presented with a 1-day history of a swollen, erythematous hand, which was neurovascularly intact (figure 1). She was delivered vaginally at term, following induction of labour for oligohydramnios and poor growth, with no history of trauma. Differential diagnoses were cellulitis, thrombus and injury, and antibiotics were commenced. Doppler ultrasound showed a 1.2 cm long non-occlusive right brachial artery branching thrombus, extending into the proximal radial and ulnar arteries. Other investigations were normal (figure 2). There was no family history of thrombophilia. Haematology and vascular teams advised treatment with low molecular weight heparin (LMWH), which was given for 5 weeks until ultrasound showed clot resolution.",
  "authors": [
    {
      "affiliations": [
        "Department of Child Health, Royal Free Hospital, London, UK"
      ],
      "name": "Zoe Oakley"
    },
    {
      "affiliations": [
        "Department of Child Health, Royal Free Hospital, London, UK"
      ],
      "name": "Shreeya Kotecha"
    },
    {
      "affiliations": [
        "Department of Child Health, Royal Free Hospital, London, UK"
      ],
      "name": "Vidhoo Rajamoorthy"
    },
    {
      "affiliations": [
        "Department of Radiology, Royal Free Hospital, London, UK"
      ],
      "name": "Jody MacLachlan"
    }
  ],
  "title": "Unusual cause of a swollen hand in a neonate",
  "uid": "9b1b0c63-f6fe-5def-aaa1-ef760a82a41c"
}