Dermatoses in the Early Neonatal Period: Their Association With Neonatal, Obstetric and Demographic Variables

Abstract

Objective: To evaluate the prevalence of neonatal dermatoses in the early neonatal period and to associate them with neonatal, demographic and obstetric variables.Methods: A cross-sectional study with neonates and their respective mothers, who were hospitalized in a public maternity hospital in Curitiba, PR, Brazil. Data collection was performed using information present in the medical records and a physical examination of the newborn during the period between April 2015 and May 2016.Results: 350 neonates were evaluated. 54.8% were male, and 94.8% (332/350) presented a dermatosis. Among them, 84.6% had, concomitantly, two or more dermatoses. A total of 23 types of dermatoses were diagnosed. The most prevalent were: sebaceous hyperplasia (66%); fluff (42.6%); and salmon patches (41.4%). The mean age of the mothers was 24.9±4.9 years old, and they were predominately white (57.7%). Vernix caseosa was associated with the female gender (p=0.034). Nonwhite mothers were associated with genital hyperpigmentation (p=0.03) and Mongolian spots (p=0.001). Physiological flaking was associated with cesarean deliveries (p=0.03) and a gestational age of over 40 weeks (p=0.054). Salmon patches was associated with primiparity (p=0.0001).Conclusions: There was a high prevalence of neonatal dermatosis in the studied population. Each newborn had, on average, three different dermatoses. Dermatosis in neonates was associated with primiparity, nonwhites, a gestational age of over 40 weeks, and the sex of the newborn.

Newborns in intensive care: Apgar score predicts in fifth minute

“…Vaginal delivery and fetal trauma at birth were associated with AS 5min < 7, as con rmed in the literature [18,19]. Fetal trauma at birth is de ned as any sign or trauma found in the newborn after birth.…”

“…Fetal trauma at birth is de ned as any sign or trauma found in the newborn after birth. The presence of fetal trauma at birth may be related to obstetric and demographic factors, or maybe related to maternal anatomical characteristics [18,19].…”

Mongolian Spots Can Mimic Body Injuries: Case Report

“…Essas alterações surgem em razão das peculiaridades da pele do recém-nascido, uma vez que esta, composta por anexos cutâneos ainda imaturos ao nascimento passa, gradativamente, por um processo de maturação no período neonatal precoce. Destarte, em geral, não necessitam de qualquer intervenção, terapêutica ou cirúrgica (5,6). As manchas mongólicas constituem uma hiperpigmentação de tom frequentemente azulacinzentado, que surge pelo fluxo migratório de melanócitos para a derme durante a fase embrionária e se localizam tipicamente em região lombossacra e dos glúteos.…”

Acné en el recién nacido

“…El diagnóstico diferencial debe realizarse con dermatosis vesiculopustulares infecciosas, no infecciosas y acneiformes (Tabla 1) 4,27,[32][33][34][35][36][37][38][39] . Las dermatosis pustulosas de origen infeccioso incluyen la foliculitis bacteriana, la sífilis secundaria, el herpes simple, la varicela y la colonización por especies de Malassezia 40 .…”

“…En el estudio de Alakloby et al 31 , todos los pacientes se manejaron con aseo y limpieza diaria. Algunos pacientes con lesiones obstructivas pueden requerir retinoides tópicos, como tretinoína (al 0.025-0.05%) o crema con ácido azelaico (al 32 , Yañes-Díaz, et al 33 Antoniou, et al 4 , Reginatto, et al 34, Hulsmann y Oranje 35 , Hernández 36 Reginatto, et al 34 , Hulsmann y Oranje 35 , Hernández 36 Antoniou, et al 4 , Reginatto, et al 34 , Hernández 36 , Guerra, et al 37 Krüger, et al 38 20%). Para las lesiones inflamatorias se pueden utilizar antibióticos tópicos, como eritromicina (al 2%) y peróxido de benzoilo (al 2%) 3,40,47 .…”