A clinical study of various cutaneous manifestations in neonates
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20185513Keywords:
Neonate, Cutaneous lesions, Mongolian spot, Miliaria, BirthmarkAbstract
Background: Cutaneous manifestations are common in neonates. Transient and pathological neonatal dermatoses should be differentiated to avoid unnecessary treatment and thus considering the variable nature and severity of neonatal skin lesions, it is important to be aware of the transient skin lesions in newborn and to differentiate these from other serious conditions which will avoid unnecessary therapy to the neonates and the parents can be assured of good prognosis of these skin manifestations. The present study has been carried out to study the clinical pattern of cutaneous lesion in neonatal period.
Methods: A total of 255 neonates from Department of Dermatology in collaboration of Department of Pediatrics, Era’s Lucknow Medical College and Hospital were evaluated for cutaneous manifestations. A detailed assessment regarding history, clinical examination and investigations were recorded and analyzed.
Results: Out of 255 neonates, 138 (54.1%) were males and 117 (45.9%) were females. The sex ratio (M:F) was 1.18. The most common dermatoses were physiological desquamation (54.1%) and mongolian spots (37.6%) followed by milia (19.6%), miliaria (14%), epstein pearls (10.2%).
Conclusions: The physiological and transient cutaneous lesions are common are in neonates. Physiological cutaneous manifestations were quite frequent apart from birthmarks/congenital cutaneous manifestations. An understanding of these manifestations helps in managing and deciding the appropriate manifestation.
Metrics
References
World Health Organization: Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death. Sixth Revision, Adopted 1948.
Sarkar R, Basu S, Agarwal RK, Gupta P. Skin Care for the Newborn. Indian Pediatr. 2010;47:593-8.
Conlon JD, Drolet BA. Skin lesions in the neonate. Pediatr Clin North Am. 2004;51(4):863-88.
Sarkar R. Care of the skin In:Gupta P, editor. Essential Pediatric Nursing. New Delhi: CBS Publishers and Distributors; 2007: 217-226.
Ramasastry P, Downing DT, Pochi PE, Strauss JS. Chemical composition of human skin surface lipids from birth to puberty. J Invest Dermatol. 1970;50:139-44.
Moosavi Z, Hosseini T. One year survey of cutaneous lesions in 1000 consecutive Iranian newborns. Pediatr Dermatol. 2006;23:61-3.
Rivers JK, Frederiksen PC, Dibdin C. A prevalence survey of dermatoses in the Australian neonate. J Am Acad Dermatol. 1990;23:77-81.
Nobby B, Chakrabrty N. Cutaneous manifestations in the new born. Indian J Dermatol Venereol Leprol. 1992;58:69-72.
Parikh DA. Neonatal skin disorders. In: Valia RG, Valia AR editors. IADVL textbook of dermatology. 3rd ed. Bombay: Bhalani Publishing House; 2001: 160-170.
Jain N, Rathore BS, Krishna A. Dermatoses in Indian neonates: A clinical study. Egypt J Dermatol Venerol. 2014;34:86-92.
Ferahbas A, Utas S, Akcakus M, Gunes T, Mistik S. Prevalence of cutaneous findings in hospitalized neonates:A prospective observational study. Pediatr Dermatol. 2009;26:139-42.
Sachdeva M, Kaur S, Nagpal M, Dewan S P. Cutaneous lesions in new born. Indian J Dermatol Venereol Leprol. 2002;68:334-7.
Ahsan U, Zaman T, Rashid T, Jahangir M. Cutaneous manifestations in 1000 Pakistani newborns. J Pakistan Assoc Dermatolo. 2010;20:199-205.
Agarwal G, Kumar V, Ahmad S, Goel K, Goel P, Prakash A, et al. A Study on Neonatal Dermatosis in a Tertiary Care Hospital of Western Uttar Pradesh India. J Community Med Health Educ. 2012;2:169.
Sandeep B, Susheela C, Keerthi S. Cutaneous Lesions in Newborn Babies: A Hospital-based Study. Int J Sci Study. 2016;4(5):43-9.
Asha GS, Shilpa VK, Ramesh M, Revathi TN. Clinical Study on Prevalence of Cutaneous Lesions in New Born Babies in India. J Clin Exp Dermatol Res. 2016;7:370.
El-Moneim AA, El-Dawela RE. Survey of skin disorders in newborns:clinical observation in an Egyptian medical centre nursery. Eastern Mediterranean Health J. 2012;18(1):49-55.
Javed M. Clinical spectrum of neonatal skin disorders at Hamdard University Hospital Karachi, Pakistan. Our Dermatol Online. 2012;3:178-80.
Shehab MM, Youssef DM, Khalil MM. Prevalence of cutaneous skin lesions in neonatal intensive care unit: A single center study. J Clin Neonatol. 2015;4:169-72.
Downloads
Published
How to Cite
Issue
Section
