Neonatology Book

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Newborn Skin ExamAka: Newborn Skin Conditions, Dermatologic Conditions in Infants, Birthmark

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  1. See Also
    1. Neonatal Pustules and Vessicles
  2. Findings: Normal - Transient (resolves in minutes to hours)
    1. Miliaria (Heat rash)
    2. Petechiae
      1. Scalp and face after vertex delivery
    3. Vernix Caseosa
      1. Cheesy white skin covering present at birth
    4. Transient vascular phenomena
      1. Cutis Marmorata (skin mottling related to cold exposure)
      2. Harlequin Color Change (positional erythema on the dependent side of the body)
  3. Findings: Normal - Short-term (resolves in days to months)
    1. Erythema Toxicum Neonatorum
      1. Yellow Papules (eos) on red base
      2. On trunk, disappear within days
      3. Differentiate from Neonatal HSV
    2. Neonatal Pustular Melanosis
      1. Milky fluid filled Vesicles, <5 mm on torso, buttock
      2. Pigmented Macule with scale after Vesicle ruptures
    3. Milia
      1. Pinpoint white Papules on nose and cheeks
      2. Blocked Sebaceous Glands
    4. Sucking Blister
      1. Develops from infant sucking on skin
    5. Lanugo
      1. Fine hair on shoulders and back
    6. Spontaneous Fat Necrosis
    7. Acne Neonatorum
  4. Findings: Normal - Birthmarks, Long-term (Persists for months to years - some do not resolve)
    1. See abnormal or risk-associated birthmarks below (e.g. Congenital Melanocytic Nevi)
    2. Mongolian Spots (Dermal Melanosis)
      1. Large bluish pigment patches
      2. Lumbar area, buttocks, extremities in dark races
    3. Nevus Simplex ("Stork bite Nevi")
      1. Upper eyelids, forehead, nape of neck
    4. Hemangioma
  5. Findings: Abnormal or lesions that require observation
    1. Pallor
      1. Anemia
    2. Jaundice onset within first day of life
      1. See Hemolytic disease of newborn
      2. See Neonatal Jaundice
    3. Cyanosis
      1. See Cyanosis in Infants
    4. Skin findings suggestive of occult spinal cord lesion
      1. See Cutaneous Signs of Dysraphism
    5. Aplasia Cutis Congenita
    6. Nevus Flammeus
    7. Nevus Sebaceus
    8. Smooth Muscle Hamartoma
    9. Congenital Melanocytic Nevi

Birthmark (C0265974)

ConceptsCongenital Abnormality (T019)
ICD9757.32
EnglishBirthmark, Birthmark of skin, Birthmarks
Spanishmancha de nacimiento, mancha de nacimiento de la piel
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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