Prevalence and characterization of neonatal skin disorders in the first 72h of life
Journal Title: Jornal de Pediatria - Year 2017, Vol 93, Issue 3
Abstract
Objective To determine the prevalence of neonatal dermatological findings and analyze whether there is an association between these findings and neonatal and pregnancy characteristics and seasonality. Methods Newborns from three maternity hospitals in a Brazilian capital city were randomly selected to undergo dermatological assessment by dermatologists. Results 2938 neonates aged up to three days of life were randomly selected, of whom 309 were excluded due to Intensive Care Unit admission. Of the 2530 assessed neonates, 49.6% were Caucasians, 50.5% were males, 57.6% were born by vaginal delivery, and 92.5% of the mothers received prenatal care. Some dermatological finding was observed in 95.8% of neonates; of these, 88.6% had transient neonatal skin conditions, 42.6% had congenital birthmarks, 26.8% had some benign neonatal pustulosis, 2% had lesions secondary to trauma (including scratches), 0.5% had skin malformations, and 0.1% had an infectious disease. The most prevalent dermatological findings were: lanugo, which was observed in 38.9% of the newborns, sebaceous hyperplasia (35%), dermal melanocytosis (24.61%), skin desquamation (23.3%), erythema toxicum neonatorum (23%), salmon patch (20.4%), skin erythema (19%), genital hyperpigmentation (18.4%), eyelid edema (17.4%), milia (17.3%), genital hypertrophy (12%), and skin xerosis (10.9%). Conclusions Dermatological findings are frequent during the first days of life and some of them characterize the newborn's skin. Mixed-race newborns and those whose mothers had some gestational risk factor had more dermatological findings. The gestational age, newborn's ethnicity, gender, Apgar at the first and fifth minutes of life, type of delivery, and seasonality influenced the presence of specific neonatal dermatological findings.
Authors and Affiliations
Flávia Reginatto
Keywords
Related Articles
- EP ID EP505220
- DOI 10.1016/j.jped.2016.06.010
- Views 57
- Downloads 0
Nutritional quality of dietary patterns of children: are there differences inside and outside school?
Objectives To describe the dietary patterns of children inside and outside school and investigate their associations with sociodemographic factors and nutritional status. Methods This was a multicenter cross-sectional s...
Bronchiolitis and asthma: the next step
Asthma is one of the most common chronic conditions during childhood. The origin of asthma is not fully understood, but it is clear that it is a complex disease in which genetic mechanisms and environmental factors are i...
Maternal depression and anxiety and fetal-neonatal growth
Objective Maternal depression and anxiety have been found to negatively affect fetal and neonatal growth. However, the independent effects of maternal depression and anxiety on fetal-neonatal growth outcomes and trajecto...
The Oxford Classification predictors of chronic kidney disease in pediatric patients with IgA nephropathy
Objective The Oxford Classification for Immunoglobulin A nephropathy (IgAN) identifies pathological variables that may predict the decline of renal function. This study aimed to evaluate the Oxford Classification variabl...
Pediatric chronic patients at outpatient clinics: a study in a Latin American University Hospital
Objective To describe the characteristics of children and adolescentes with chronic diseases of outpatient clinics at a tertiary university hospital. Methods A cross-sectional study was performed with 16,237 patients wi...