DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20213340

A clinical study of cutaneous manifestations in neonates at a tertiary health care center

M. Sneha, Kumaravel Sadagopan, Vaishnavi D.

Abstract


Background: Cutaneous alterations are commonly seen in neonates as a normal process of adaptation to the external air environment after birth. It is good to know about transient skin lesions in infants to distinguish them from other conditions that prevent unwanted neonate therapy. Parents should be confident of the excellent prognosis of these manifestations of the skin. The aim of the study was to determine the patterns of cutaneous manifestations occurring among the newborn.

Methods: This prospective study was conducted in the newborn with at-least one cutaneous manifestation. A detailed history of the neonates and mother was collected using pre-designed proforma.

Results: Of 100 neonates, 52 were males, 48 were females, of these, 85 were born at term, 10 were preterm, and 5 were post-term. Mongolian spot was seen in lumbosacral, buttocks and extremities in 80 (80%) neonates, vernix caseosa in 20 (20%) neonates. Milia in 14 (14%) neonates, eczematous eruption in 30 (12.5%).

Conclusions: This neonatal skin research has provided details on normal variants occurs during the neonatal phase. It is necessary to know that most newborn skin lesions are temporary and do not require any treatment.


Keywords


Neonates, Cutaneous, Physiological, Pathological

Full Text:

PDF

References


Moosavi Z, Hosseini T. One-year survey of cutaneous lesions in 1000 consecutive Iranian newborns. Pediatr Dermatol. 2006;23(1):61-3.

Chang MW, Orlow SJ. Neonatal dermatology. In: Freedberg IM, Eisent AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, eds. Fitzpatrick's dermatology in general medicine. 6th ed. New York, NY: Mc Graw Hill; 2003: 1366-1386.

Dohil MA, Baugh WP, Eichenfield LF. Vascular and pigmented birthmarks. Pediatr Clin North Am. 2000;47(4):783-812.

Darmstadt GL, Dinulos JG. Neonatal skin care. Pediatr Clin North Am. 2000;47(4):757-82.

Rivers JK, Frederiksen PC, Dibdin C. A prevalence survey of dermatoses in the Australian neonate. J Am Acad Dermatol. 1990;23(1):77-81.

Ferahbas A, Utas S, Akcakus M, Gunes T, Mistik S. Prevalence of cutaneous findings in hospitalized neonates: a prospective observational study. Pediatr Dermatol. 2009;26(2):139-42.

Pruksachatkunakorn C, Duarte AM, Schachner LA. Skin lesions in newborns. Int Pediatr. 1999;14(1):28-31.

Shih IH, Lin JY, Chen CH, Hong HS. A birthmark survey in 500 newborns: clinical observation in two northern Taiwan medical center nurseries. Chang Gung Med J. 2007;30(3):220-5.

Dash K, Grover S, Radhakrishnan S, Vani M. Clinico epidemiological study of cutaneous manifestations in the neonate. Indian J Dermatol Venereol Leprol. 2000;66(1):26-8.

Kulkarni ML, Singh R. Normal variants of skin in neonates. Indian J Dermatol Venereol Leprol. 1996;62(2):83-6.

Meenakshi S, Surjeet K, Madhu N. Dewan SP. Cutaneous lesions in newborn. Indian J Dermatol Venereol Leprol. 2002; 68:334-7.

Nobbay B, Chakrabarty N. Cutaneous manifestations in the newborn. Indian Dermatol Venereol Leprol. 1992;58:69-72.

Saracli T, Kenney JA, Scott RB. Common skin disorders in the newborn Negro infant. Observations based on the examination of 1,000 babies. J Pediatr. 1963;62:359-62.

Hurwitz S. Clinical Pediatric Dermatology. Philadelphia, PA: WB Saunders; 1981: 27-30.

Gupta AK, Skinner AR. Management of diaper dermatitis. Int J Dermatol. 2004;43(11):830-4.

Sachdeva M, Kaur S, Nagpal M, Dewan SP. Cutaneous lesions in new born. Indian J Dermatol Venereol Leprol. 2002;68(6):334-7.

Shajari H, Shajari A, Sajadian N, Habiby M. The incidence of birthmarks in Iranian neonates. Acta Medica Iranica, 2007;45(5):424-6.

Hidano A, Purwoko R, Jitsukawa K. Statistical survey of skin changes in Japanese neonates. Pediatr Dermatol. 1986;3(2):140-4.

Dahiyat KA. Neonatal skin lesions in Jordan, study of consecutive 500 neonates at King Hussein medical centre. Calicut Med J. 2006;4(4).

Nanda S, Reddy BS, Ramji S, Pandhi D. Analytical study of pustular eruptions in neonates. Pediatr Dermatol. 2002;19(3):210-5.

Maldonado R, Tamayo L, Laterza AM, DurĂ¡n C. Giant pigmented nevi: clinical, histopathologic, and therapeutic considerations. J Pediatr. 1992;120(6):906-11.

Bett BJ. Large or multiple congenital melanocytic nevi: occurrence of cutaneous melanoma in 1008 persons. J Am Acad Dermatol. 2005;52(5):793-7.