A clinical study of various cutaneous manifestations in neonates

Authors

  • Shams Zia Usmani Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India
  • Kshitij Saxena Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India
  • Venkatarao Koti Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India
  • Shrish Bhatnagar Department of Pediatrics, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India
  • Gaurav Paliwal Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India
  • Shivani Yadav Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India
  • Anukriti Singh Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20185513

Keywords:

Neonate, Cutaneous lesions, Mongolian spot, Miliaria, Birthmark

Abstract

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.

Author Biographies

Shams Zia Usmani, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Final year MD student

Dermatology, Venereology and Leprosy

Kshitij Saxena, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Associate Professor

Dermatology, Venereology and Leprosy

Venkatarao Koti, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Professor

Dermatology, Venereology and Leprosy

Shrish Bhatnagar, Department of Pediatrics, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Professsor and Head

Department of pediatrics

Gaurav Paliwal, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Final year MD student

Dermatology, Venereology and Leprosy

Shivani Yadav, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Secondl year MD student

Dermatology, Venereology and Leprosy

Anukriti Singh, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

First year MD student

Dermatology, Venereology and Leprosy

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Published

2019-01-25

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Original Research Articles