Neonatal Birthmarks: A Prospective Survey in 1000 Neonates

Techasatian, Leelawadee; Sanaphay, Vilounna; Paopongsawan, Pongsatorn; Schachner, Lawrence A.

doi:10.1177/2333794x19835668

Cited by 17 publications

(19 citation statements)

References 25 publications

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“…Port wine stains (PWS) are congenital vascular malformations that occur in approximately 0.3–0.9% of infants [ 1 – 3 ]. Lesions initially present as flat, red-to-pink patches and darken and thicken with age [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical outcome measures and scoring systems used in prospective studies of port wine stains: A systematic review

et al. 2020

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Background Valid and reliable outcome measures are needed to determine and compare treatment results of port wine stain (PWS) studies. Besides, uniformity in outcome measures is crucial to enable inter-study comparisons and meta-analyses. This study aimed to assess the heterogeneity in reported PWS outcome measures by mapping the (clinical) outcome measures currently used in prospective PWS studies. Methods OVID MEDLINE, OVID Embase, and CENTRAL were searched for prospective PWS studies published from 2005 to May 2020. Interventional studies with a clinical efficacy assessment were included. Two reviewers independently evaluated methodological quality using a modified Downs and Black checklist. Results In total, 85 studies comprising 3,310 patients were included in which 94 clinician/observerreported clinical efficacy assessments had been performed using 46 different scoring systems. Eighty-one-studies employed a global assessment of PWS appearance/improvement, of which-82% was expressed as percentage improvement and categorized in 26 different scoring systems. A wide variety of other global and multi-item scoring systems was identified. As a result of outcome heterogeneity and insufficient data reporting, only 44% of studies could be directly compared. A minority of studies included patient-reported or objective outcomes. Thirteen studies of good quality were found.

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Section: Introductionmentioning

confidence: 99%

Clinical outcome measures and scoring systems used in prospective studies of port wine stains: A systematic review

et al. 2020

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Section: Discussionmentioning

confidence: 99%

“…13 Infantile hemangioma was also more prevalent in female than in male patients, which is consistent with the overall hemangioma data from previous studies conducted in various regions worldwide. [14][15][16][17][18] Cutaneous infections were found in 60/ 769 (7.8%) patients. Impetigo was the most common cutaneous infection.…”

Section: Discussionmentioning

confidence: 99%

Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center

2019

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Objectives Dermatological disorders are common in general pediatric practice. This study aimed to examine common skin problems and the manner in which they tend to be misdiagnosed. Methods A cross-sectional study was conducted from January 2015 to December 2016 using medical record data from the Pediatric Dermatological Outpatient Unit at Khon Kaen University, Faculty of Medicine. Results A total of 1551 visits by 769 patients were documented during the study period. A total of 114 presenting diseases were recorded. The most common skin disease in the study population was dermatitis (unspecified) (88/769, 11.4%), followed by atopic dermatitis (76/769, 9.8%) and infantile hemangioma (72/769, 9.3%). There was a total of 55 (48.2%) misdiagnosed diseases. Some unique cutaneous diseases were undiagnosed because of their rarity. However, the percentages of common cutaneous diseases, such as tinea capitis and molluscum contagiosum, which had been misdiagnosed, were also high (62.50% [95% confidence interval = 24.49–91.48] and 71.43% [95% confidence interval = 29.04–96.33], respectively). Conclusion A large percentage of misdiagnoses of common cutaneous diseases may be due to general pediatricians being undereducated in the field of dermatology. Accurate recognition and appropriate management of these conditions should be emphasized for educating general pediatricians in the future.

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“…erefore, early recognition is essential to differentiate benign lesions from more serious disorders and to provide proper counseling to parents. Several fetal, maternal, and environmental factors, such as prematurity, congenital infections, ethnicity, and maternal drug use, can influence the onset, type, and evolution of cutaneous lesions [3][4][5][6]. Previous studies have been performed regarding cutaneous lesions in neonates and their association with fetal conditions and maternal factors, yet only a few of these studies were performed in a diverse population of Iran [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Cutaneous Lesions in Iranian Neonates and Their Relationships with Maternal-Neonatal Factors: A Prospective Cross-Sectional Study

Firouzi

Jalalimehr

Ostadi

et al. 2020

Dermatology Research and Practice

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Cutaneous lesions are common in the neonatal period and mostly physiological, transient, and self-limited; uncommonly, they are pathological and require treatment and cooperation between neonatologists and dermatologists. Particular conditions, like prematurity, can influence the onset, type, and evolution of cutaneous manifestations. Of the several articles in the literature about skin findings in newborns, only a few were performed in Iran. We aimed to investigate dermatological findings in a sample of neonates within the first three days of life and to evaluate the association between skin lesions and neonatal- or maternal-related variables. A total of 1202 newborns, hospitalized in the Department of Pediatrics of Imam Sajjad Hospital of Ramsar and Shahid Rajaee Hospital of Tonekabon, Iran, for two years, were examined. All skin findings were recorded, and information on neonatal and maternal variables was collected and analyzed to detect statistically significant associations. Skin lesions were present in 958 newborns (79.8%). The prevalence of milia, erythema toxicum, salmon patch, and Mongolian spots were 45.2%, 43%, 37.3%, and 37%, respectively. Natural vaginal delivery, use of medication, term gestation, and maternal disease were associated with a higher incidence of cutaneous lesions in neonates. Milia, erythema toxicum, Mongolian spots, and genital hyperpigmentation were seen more frequently in the male gender. Conversely, skin desquamation was seen more frequently in females. Among maternal diseases, gestational diabetes mellitus, urinary tract infection, preeclampsia, hypertension, psychiatric disorders, and uterine infection were associated with a higher prevalence of cutaneous lesions. Neonatal cutaneous lesions are a common source of concern in parents and inexperienced physicians. Therefore, prompt recognition of neonatal cutaneous lesions is essential in order to avoid unnecessary diagnostic and therapeutic procedures.

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Neonatal Birthmarks: A Prospective Survey in 1000 Neonates

Cited by 17 publications

References 25 publications

Clinical outcome measures and scoring systems used in prospective studies of port wine stains: A systematic review

Clinical outcome measures and scoring systems used in prospective studies of port wine stains: A systematic review

Common misdiagnoses and prevalence of dermatological disorders at a pediatric tertiary care center

Cutaneous Lesions in Iranian Neonates and Their Relationships with Maternal-Neonatal Factors: A Prospective Cross-Sectional Study

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