Gitika sanodia
SS Institute of Medical Sciences and Research Center, India
Title: Dermatoses in first 120 hrs of life- a clinical study and statistical survey
Biography
Biography: Gitika sanodia
Abstract
Introduction & Aim: Neonatal skin presents many unique features that reflect immaturity and the transition from intrauterine life. The spectrum of dermatological manifestations during neonatal period varies from transient self-limiting conditions to serious dermatoses. This study was conducted to determine the prevalence of different cutaneous lesions in newborns and to study the prevalence of dermatoses in neonates and to establish the correlation between various neonatal factors, maternal factors.
Materials & Methods: A total of 100 consecutive live-born neonates delivered and admitted to the postpartum ward, neonates admitted to the Neonatal Intensive Care Unit and neonates attending the Dermatology Outpatient Department were included in this study. A detailed assessment of history was performed and a detailed dermatological examination of each of the neonates was carried out. Laboratory procedures were performed as required.
Results: The most prevalent findings were vernix caseosa (87%), Mongolian spot (81%), sebaceous hyperplasia (80%), caput succedaneum (75%) followed by superficial cutaneous desquamation (75%), lanugo hair (63%), milia (40%), salmon patch (35%), epidermal hyperpigmentation (30%), erythema toxicum neonatorum (20%) and miliaria (18.5%).
Conclusion: Neonatal skin lesions are mostly harmless and transient but need to be differentiated from more serious or life-threatening conditions. Due to lack of specialized pediatric dermatology clinics frequently get tossed between a dermatologist and a pediatrician. The identification of normal phenomena and their differentiation from more significant cutaneous disorders of the newborn are necessary.
Discussion: Skin rashes are common in neonate and can cause parental anxiety. Several studies about the prevalence of neonatal dermatoses have been documented in various countries and racial groups. In our study we found that vernix caseosa, Mongolian spots, sebaceous hyperplasia, desquamation, lanugo hair and milia are the skin lesions which are commonly seen in the neonates; revealed statistical significance with both maternal as well as neonatal factors.