Prevalence and characterization of neonatal skin disorders in the first 72 h of life

Reginatto, Flávia Pereira; DeVilla, Damie; Muller, Fernanda M.; Peruzzo, Juliano; Peres, Letícia Pangendler; Steglich, Raquel Bissacotti; Cestari, Tânia Ferreira

doi:10.1016/j.jped.2016.06.010

Cited by 20 publications

(31 citation statements)

References 19 publications

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“…Our observations would support a hypothesis in which disruption of venous return due to increased intraabdominal pressure affects the skin microcirculation and leads to the appearance of telangiectasia. The lesions we observed are not described in articles concerning cutaneous abnormalities 2 or vascular phenomenon of the newborn. [3][4][5] The bilateral character, absence of vasoconstrictive halo, non-congenital nature, and rapid resolution rule out alternative diagnoses such as infantile hemangiomas with minimal or arrested growth 6 or capillary malformations.…”

Section: Ta B L E 1 Characteristics Of 20 Cases Of Transient Abdominal Telangiectasia Of the Newborncontrasting

confidence: 56%

Transient abdominal telangiectasia of the newborn

Juzot

Aubert

Bessis

et al. 2021

Pediatric Dermatology

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We report 20 newborns who developed, at a median age of 7 days, large abdominal patches of radially arranged purplish telangiectasia in a bilateral and symmetrical pattern in relation to the midline, creating a "butterfly wing" pattern. Clinical examination was normal in 13 newborns, six newborns had abdominal distention, and one newborn had poor weight gain due to inadequate breastfeeding. Most lesions spontaneously resolved within 3 months and did not reoccur for 19 newborns. Transient abdominal telangiectasia of the newborn (TATN) appears to be a distinctive entity that has not been previously described.

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Section: Ta B L E 1 Characteristics Of 20 Cases Of Transient Abdominal Telangiectasia Of the Newborncontrasting

confidence: 56%

Transient abdominal telangiectasia of the newborn

Juzot

Aubert

Bessis

et al. 2021

Pediatric Dermatology

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show abstract

“…Our study found that the type and prevalence of neonatal diseases are closely related to gender, gestational age, patient sources, delivery methods, and birth weight. The prevalence of most diseases in males was higher than in females (22)(23)(24). The analysis indicated a statistically significant difference between the patient sources.…”

Section: Discussionmentioning

confidence: 82%

“…The results showed that the proportion of males and females in each gestational age group was similar in inborn/outborn newborns. It was worth noting that gender had significant effect on neonatal prevalence, with males had higher prevalence than females (22)(23)(24). This demonstrates that although males accounted for more resources, there was no gender bias in treatment and referral.…”

Section: Discussionmentioning

confidence: 89%

The Disease Spectrum and Influencing Factors of NICU in Xiangxi, Underdeveloped Area of China: A 9-Year Retrospective Study

et al. 2022

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ObjectiveInvestigation of the basic conditions and disease spectrum in neonatal intensive care unit (NICU) from 2012 to 2020, in the underdeveloped area of Xiangxi, China.MethodsAll newborns (N = 16,094) admitted to the NICU of a hospital in the Xiangxi area from 2012 to 2020 were selected for the retrospective study.ResultsThe average male/female ratio was 1.43:1, with 9,482 males and 6,612 females admitted to the NICU. The sample comprised 41.02% premature infants, and 56.52% had been delivered via cesarean delivery (CD). The most prevalent diseases diagnosed in the NICU were jaundice (22.01%), respiratory (18.45%) and neurological diseases (17.54%). Over the 9-year study window, the prevalence of jaundice and cardiovascular diseases increased, while respiratory and neurological diseases became less frequent. The prevalence of the remaining diseases remained unchanged. Prevalence of neonatal diseases is influenced by gender, patient sources, delivery methods, gestational age and birth weight (P < 0.05). The prevalence of neonatal diseases was significantly higher in males, infants born via CD, and in infants of lower gestational age and birth weight.ConclusionThe study contributes in-depth information about infant characteristics in an NICU in an undeveloped region of China. In the past 9 years, the average proportion of premature infants in the NICU decreased to 37.38% in 2020, but this figure remains higher than the Chinese national average of 26.2%. Similarly, the CD rate is higher than the Chinese average. The spectrum of neonatal diseases in the NICU in Xiangxi area is drawn, included jaundice, respiratory and neurological diseases, primarily. Through statistical analysis, it is found that the types and prevalence of neonatal diseases are closely related to different gender, gestational age, patient sources, delivery methods, and birth weight (P < 0.05). Newborns of specific gestational age, birth weight and delivery method should be considered “at-risk” and targeted in the formulation of preventive measures. There is a great need to improve the diagnosis and treatment of neonatal diseases—and perinatal health care in general—to ensure improved outcomes for newborns admitted to NICUs in underdeveloped regions.

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“…Although common, parents can be reassured that the overwhelming majority of such findings are benign. Several prospective studies conducted in the United States and other countries also report a higher prevalence of newborn skin findings 4-13 (Table 3). The difference may be due to differences in methodologies, as the other studies were prospective compared with our retrospective design based on chart review.…”

Section: Discussionmentioning

confidence: 93%