Congenital pigmented and vascular lesions in newborn infants

Osburn, Kevin; Schosser, Robert H.; Everett, Mark Allen

doi:10.1016/s0190-9622(87)70102-9

Cited by 117 publications

(83 citation statements)

References 9 publications

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“…We noted a higher frequency among females (75%) and preterm babies (11.5%) as compare to term babies (4.79%) and these observations are consistent with Osburn et al and Amir et al who noted a similar relationship. 25,26 Head and neck was the predominant site for hemangioma in our study (62.5%) similar to previous studies Chiller et al and Senthilkumar.…”

Section: Vascular Lesions and Hemartomassupporting

confidence: 91%

A clinical study of neonatal dermatosis

Shah

Yaseen

Gupta³

2017

Int J Contemp Pediatr

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INTRODUCTIONThe neonatal period is defined as first four weeks of extra uterine life. The skin of the newborn serves a pivotal role in transition from aqueous intra uterine environment to extra uterine terrestrial life. Neonatal skin differs in structure and function from that of adults and hence the dermatoses seen during this period differ in their clinical presentation and therapeutic requirements. The skin of neonate is thinner less hairy has, weaker inter cellular attachments, increased susceptibility to external irritants, microbial infections and decreased contact allergen reactivity.1 The appreciation of normal physiological phenomena and their differentiation from more significant cutaneous disorders of new born is critical for dermatologist in order to modify the approach for caring of new born skin during this period. Most of the studies.2-4 regarding neonatal dermatoses have focused on the first few hours or days after birth but literature regarding full neonatal period is meagre and no such study is available from this part of the country and hence this study is an attempt to provide the frame work for an effective ABSTRACT Background: The neonatal period is the first 4 weeks of extra-uterine life. Neonatal dermatology encompasses a spectrum of cutaneous disorders from benign to life threatening. The present study was undertaken to evaluate the various dermatoses and hence assess the spectrum of dermatological conditions during the neonatal period and to study the relationship of neonatal dermatoses with maturity and birth weight of the neonates. Methods: Three hundred neonates with cutaneous manifestations, attending the OPD of dermatology and Paediatrics during one year period, were studied. Neonates receiving phototherapy and those with lesions secondary to trauma were excluded. Clinical history coupled with complete general physical, systemic and dermatological examination. Results: Three hundred cases of neonatal dermatoses were included in study. Out of 300 cases, 179 (59.7%) were male babies and 121 (140.3%) were female (sex ratio 1:5), 271 (70.3%) were term babies, 27 (9%) were preterm and 2 (0.7%) were post term. Transient/non-infective cutaneous lesions were the commonest 144 (48%) followed by Infectious 68 (22.67%), eczematous disorder 33 (11%) and pigmentary dermatoses 25 (8.33). Vascular lesions and hematomas accounted for 18 (6%) while genodermatoses were seen 7 (2.33%). 5 cases of subcutaneous fat disorders were observed. Conclusions: As the spectrum of neonatal dermatology is vast, its knowledge to dermatologist is very important so as to differentiate the more common benign disorders from less frequent life-threatening dermatoses, so that timely intervention could facilitate a better therapeutic outcome.

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Section: Vascular Lesions and Hemartomassupporting

confidence: 91%

A clinical study of neonatal dermatosis

Shah

Yaseen

Gupta³

2017

Int J Contemp Pediatr

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“…Some international studies have mainly focused on benign cutaneous lesions in newborns [6,7]. 34.75% neonates had skin manifestations during the study period, reported incidence is 27.6% to 31% [8,9]. Maximum numbers of cases in this study were due to Skin infections (25.12%) this is particularly important because our neonates are over covered, in hot humid, subtropical climate.…”

Section: Discussionmentioning

confidence: 68%

Clinical spectrum of neonatal skin disorders at Hamdard University Hospital Karachi, Pakistan

Javed¹

2012

Our Dermatol Online

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Objective: To analyze the clinical spectrum of skin conditions in neonates at Hamdard university hospital. Study Design: Descriptive (Observational) cross sectional study. Methods: This study was conducted from January 2008 to December 2009. All neonates seen at Hamdard university hospital during this period were examined. Neonates with skin conditions with in 28 days of birth were registered on a predesigned questioner by the house officer these cases were confirmed by the pediatric consultant, followed by detail physical systemic examination and skin examination. Dermatologist was involved in the diagnosis of difficult cases. Results: Total numbers of new born seen during the year 2008-2009 were 1660, there were 65% males and 35% females, 1360 (81.92%) were above 2.5 Kg at birth, 18.08% were below 2.5 Kg. Numbers of neonates with skin lesions were 577 (34.75%). Neonates with skin infections were 25.12%, 15.59% had with nappy rash and 15.59 % had erythema toxicum neonatrum. Neonates with milia were 60 (10.39%) and with erythema were 27 (4.67%). Conclusion: Clinical spectrums of neonatal skin are different in this study as compared to other regional and international studies. StreszczenieCel: Analiza kliniczna spektrum chorób skóry u noworodków w szpitalu Uniiwersyteckim Hamdard. Projekt badania: Opisowy (obserwacyjny) przekrój badania. Metody: Badanie zostało przeprowadzone w okresie od stycznia 2008 do grudnia 2009 roku. W tym okresie zbadano wszystkie noworodki widziane w szpitalu uniwersyteckim Hamdard. Noworodki z chorobami skóry w 28 dni od urodzenia były zarejestrowane na gotowych kwestionariuszach przez lekarza rezydenta, następnie te przypadki zostały potwierdzone przez konsultanta dziecięcego, po szczegółowym systemowym badaniu fizykalnym i badaniu skóry. Dermatolog był zaangażowany w diagnostyce trudnych przypadków. Wyniki: Całkowita liczba noworodków obserwowana w latach 2008 -2009 wynosiła 1660, w tym 65% płci męskiej i 35% płci żeńskiej, 1360 dzieci (81,92%) było powyżej 2,5 kg po urodzeniu, 18,08% było poniżej 2,5 kg. Liczba noworodków z zmianami skórnymi wynosiła 577 (34,75%). Noworodków z zakażeniami skóry było 25,12%, 15,59% miało pieluszkowe zapalenie skóry a u 15,59% stwierdzono toksyczny rumień noworodków. Noworodków z prosakami było 60 (10,39%) a z rumieniem 27 (4,67%). Konkluzja: Kliniczne spektrum skóry noworodków w tym badaniu różni się w porównaniu do innych badań regionalnych i międzynarodowych.

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“…Bu hastal›klar›n erken tan› ve tedavisi ise hayat kurtar›c›d›r. Özellikle yenido¤an döneminde yap›lan çal›flmalar göstermifltir ki acil servise dermatolojik baflvuru nedenleri genellikle selim seyirli deri lezyonlar›d›r [5][6][7][8] . Selim seyirli yenido¤an lezyonlar› aras›nda s›kl›kla da mongol lekeleri, yenido¤an›n toksik eritemi, milia ve miliaria yer almaktad›r [9] .…”

Section: Tartifimaunclassified

“…Önceki çal›flmalar da gösterilmifltir ki, süt çocuklu¤u dönemindeki baflvurular özellikle atopik dermatit ve seboreik dermatit gibi nedenlere ba¤l›d›r. Ancak bu durumdan farkl› olarak oyun çocuklu¤u döneminde ise enfeksiyonlara ba¤l› deri lezyonlar› daha ön plandad›r [5][6][7][8] . Sarkar ve ark.…”

Section: Tartifimaunclassified

Çocukta dermatolojik aciller: 5 yıllık deneyim

Güzel¹

2009

jaem

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Background and design:The aim of this study was to examine clinical and demographic characteristics of patients who presented with dermatological lesions to the pediatric emergency department. Materials and Methods: All patients who presented with the complaint of dermatological problems within the last 5 years were evaluated retrospectively. Results: Of 498 patients applied to our clinic, 273 (54.8%) were males, 225 (45.2%) were females. The median age of the patients was 5.56±3.72 years. Our study included four (0.8%) neonates, seventy (14.1%) infants, one hundred sixty one (32.3%) preschool and two hundred sixty three (52.8%) school going children who were applied for the management of dermatological emergencies. The most common dermatological diseases were infectious skin disorders, urticaria, and drug reactions. Systemic therapy was prescribed in 66.9% and local therapy in 9.9% of the patients. Combined local and systemic therapy was given to 17.3% of the cases. Of all patients, 23 (4.6%) were consulted by dermatology. Of all patients, 20.9% were admitted to our hospital, while 78.9% treated with outpatient and one patient left hospital before completion of his therapy. Conclusion:The most common dermatological diseases are infectious skin disorders in pediatric emergency department. Common skin diseases in pediatric emergency department must be established and periodical education programs associated with these diseases were planned. ÖZET Girifl ve Amaç:Çocuk acil poliklini¤imize deri lezyonlar› ile baflvuran olgular›n klinik ve demografik özelliklerinin incelenmesi amaçland›. Gereç ve Yöntem: Son befl y›lda dermatolojik problemler ile baflvuran hastalar›n dosyalar› yafl, cinsiyet, baflvuru semptomlar›, baflvuru zaman›, etyolojik faktörler, dermatoloji konsültasyon s›kl›¤› ve nedenleri, uygulanan tedavi ve hastaneye yat›fl oranlar› aç›s›ndan retrospektif olarak incelendi. Bulgular: Klini¤imize son befl y›lda dermatolojik flikayetlerle baflvuran 498 olgunun 273'ü (%54,8) erkek, 225'i (%45,2) k›zd›. Olgular›n yafl ortalamas› ise 5.56±3.72 y›l idi. Olgular›n 4'ü (%0.8) yenido¤an, 70'i (%14.1) süt çocu¤u, 161'i (%32.3) oyun çocu¤u ve 263'ü (%52.8) ise okul çocu¤u idi. En s›k tespit edilen dermatolojik hastal›klar ise döküntülü enfeksiyon hastal›klar›, ürtiker ve ilaç reaksiyonlar› idi. Olgular›n %66.9'una sistemik, %17.3'üne topikal ve sistemik, %9.9'una topikal tedavi verilirken %5.9 olguya ise tedavi uygulanmad›¤› tespit edildi. Sadece 23 (%4,6) olguda dermatoloji konsültasyon istemi vard›. Olgular›n 104'ünün (%20.9) hastaneye yat›r›ld›¤›, 393'ünün (%78.9) ayaktan tedavi gördü¤ü ve bir olgunun ise tedavisi devam etmekte iken kendi iste¤i ile acil servisten ayr›ld›¤› tespit edildi. Sonuç: Çocuk acil ünitelerine dermatolojik aciller aras›nda en s›k baflvuru nedeni döküntülü enfeksiyon hastal›klar›d›r. Acil çal›flanlar›na yönelik içeri¤inde çocukluk ça¤›nda acil dermatolojiyi de içeren periyodik e¤itim programlar› düzenlenmeli ve özellikle hayati fonksiyonlar› etkileyebilecek dermatolojik hastal›klara ...

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Congenital pigmented and vascular lesions in newborn infants

Cited by 117 publications

References 9 publications

A clinical study of neonatal dermatosis

A clinical study of neonatal dermatosis

Clinical spectrum of neonatal skin disorders at Hamdard University Hospital Karachi, Pakistan

Çocukta dermatolojik aciller: 5 yıllık deneyim

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