Prevalence of Cutaneous Findings in Hospitalized Neonates: A Prospective Observational Study

Ferahbaş, Ayten; Utaş, Serap; Akçakuş, Mustafa; Güneş, Tamer; Mistik, Selcuk

doi:10.1111/j.1525-1470.2009.00903.x

Cited by 66 publications

(80 citation statements)

References 9 publications

(16 reference statements)

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“…There were 21% neonates with Mongolian spots, mainly on buttocks in this study; reported incidence is 56% to 98% [13][14]. There were 15.59% with nappy rash in this study; Ferahbas A et al [14] reported incidence of 2% this difference may be due to financial reasons, our mothers do not change nappies as frequently as required leading to prolong stool contact resulting in nappy rash. Erythema toxicum neonatrum is the most common pustular dermatitis in newborns a benign condition requiring no intervention, presented in 15.50% of neonates in this study, reported incidence is 21-40% [15,16].…”

Section: Discussioncontrasting

confidence: 43%

“…Reported incidence is between 5% to 47.15% [10][11]. There were 21% neonates with Mongolian spots, mainly on buttocks in this study; reported incidence is 56% to 98% [13][14]. There were 15.59% with nappy rash in this study; Ferahbas A et al [14] reported incidence of 2% this difference may be due to financial reasons, our mothers do not change nappies as frequently as required leading to prolong stool contact resulting in nappy rash.…”

Section: Discussioncontrasting

confidence: 38%

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Clinical spectrum of neonatal skin disorders at Hamdard University Hospital Karachi, Pakistan

Javed¹

2012

Our Dermatol Online

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Objective: To analyze the clinical spectrum of skin conditions in neonates at Hamdard university hospital. Study Design: Descriptive (Observational) cross sectional study. Methods: This study was conducted from January 2008 to December 2009. All neonates seen at Hamdard university hospital during this period were examined. Neonates with skin conditions with in 28 days of birth were registered on a predesigned questioner by the house officer these cases were confirmed by the pediatric consultant, followed by detail physical systemic examination and skin examination. Dermatologist was involved in the diagnosis of difficult cases. Results: Total numbers of new born seen during the year 2008-2009 were 1660, there were 65% males and 35% females, 1360 (81.92%) were above 2.5 Kg at birth, 18.08% were below 2.5 Kg. Numbers of neonates with skin lesions were 577 (34.75%). Neonates with skin infections were 25.12%, 15.59% had with nappy rash and 15.59 % had erythema toxicum neonatrum. Neonates with milia were 60 (10.39%) and with erythema were 27 (4.67%). Conclusion: Clinical spectrums of neonatal skin are different in this study as compared to other regional and international studies. StreszczenieCel: Analiza kliniczna spektrum chorób skóry u noworodków w szpitalu Uniiwersyteckim Hamdard. Projekt badania: Opisowy (obserwacyjny) przekrój badania. Metody: Badanie zostało przeprowadzone w okresie od stycznia 2008 do grudnia 2009 roku. W tym okresie zbadano wszystkie noworodki widziane w szpitalu uniwersyteckim Hamdard. Noworodki z chorobami skóry w 28 dni od urodzenia były zarejestrowane na gotowych kwestionariuszach przez lekarza rezydenta, następnie te przypadki zostały potwierdzone przez konsultanta dziecięcego, po szczegółowym systemowym badaniu fizykalnym i badaniu skóry. Dermatolog był zaangażowany w diagnostyce trudnych przypadków. Wyniki: Całkowita liczba noworodków obserwowana w latach 2008 -2009 wynosiła 1660, w tym 65% płci męskiej i 35% płci żeńskiej, 1360 dzieci (81,92%) było powyżej 2,5 kg po urodzeniu, 18,08% było poniżej 2,5 kg. Liczba noworodków z zmianami skórnymi wynosiła 577 (34,75%). Noworodków z zakażeniami skóry było 25,12%, 15,59% miało pieluszkowe zapalenie skóry a u 15,59% stwierdzono toksyczny rumień noworodków. Noworodków z prosakami było 60 (10,39%) a z rumieniem 27 (4,67%). Konkluzja: Kliniczne spektrum skóry noworodków w tym badaniu różni się w porównaniu do innych badań regionalnych i międzynarodowych.

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Section: Discussioncontrasting

confidence: 43%

Section: Discussioncontrasting

confidence: 38%

Clinical spectrum of neonatal skin disorders at Hamdard University Hospital Karachi, Pakistan

Javed¹

2012

Our Dermatol Online

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“…This rate is close to those of CHAITHIRAYANON S. (16.9%) [13] and FERAHBAS A. (19.2%) [10]. The majority of the NNDs concerned the glabrous skin in our study as also noted KANE A.…”

Section: Discussionsupporting

confidence: 76%

Epidemiological and Clinical Aspects of Neonatal Dermatoses at the National Teaching Hospital HKM of Cotonou Benin

Adégbidi¹,

Atadokpèdé²,

Koudoukpo³

et al. 2017

JCDSA

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Neonatal dermatoses (NND) are frequent, varied and of variable prognosis. The objective of this work was to study the epidemiological and clinical aspects of NND at the NTH-HKM. Methods: This was a cross-sectional descriptive and analytical study from December 1, 2014 to February 28, 2015. All newborns received in the Department of Pediatrics and Medical Genetics and with dermatosis were included. The diagnosis of dermatoses was clinical. Results: During the study period, 355 newborns had at least one NND on a total of 580 newborns received, a prevalence of 61.2%. The sex ratio was 1.54 and the average age was 3.11 days. Transient dermatoses were more frequent (80%), dominated by desquamation + xerosis (33.75%). Congenital melanocytic nevi (40.74%) and malformations and vascular tumors (18.52%) were the most noted pathological neonatal dermatoses. Only age was statistically associated with NND. Conclusion: DNH is common in newborns at the NTH-HKM. They were mostly transitory. Pathological conditions should be treated where appropriate.

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“…The incidence of salmon patch in newborns is reported to be 44% in Caucasian neonates [2], 33.8% in Australian neonates [3], 26.2% in Iranian newborns, 13.8% in Indian newborns [4], 19.2% in Turkish newborn infants [5], and 59% in Spanish newborns [6]. Salmon patch usually disappears with aging, and the persistence of salmon patch shows a lower rate, though nuchal salmon patches in particular tend to persist [7,8].…”

Section: Commentarymentioning

confidence: 99%

“…In this studying, most nuchal salmon patches have a drop shape. [5], and 59% in Spanish newborns [6]. Salmon patch usually disappears with aging, and the persistence of salmon patch shows a lower rate, though nuchal salmon patches in particular tend to persist [7,8].…”

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confidence: 99%

Nuchal Salmon Patch Persisting into Adulthood

Sugiura¹,

Sugiura²

2017

J Clin Exp Dermatol Res

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Erythema at the base of the head is often seen in healthy adults, and this nuchal erythema could be a persistent salmon patch. Nuchal salmon patches tend to persist, and are often seen in adults. Our survey found that 71.1% (32/45) of our adult subjects without skin disease had a salmon patch at the nuchal location. This incidence is higher than that indicated in previous reports. In this studying, most nuchal salmon patches have a drop shape. [5], and 59% in Spanish newborns [6]. Salmon patch usually disappears with aging, and the persistence of salmon patch shows a lower rate, though nuchal salmon patches in particular tend to persist [7,8]. In one study, nuchal salmon patches were detected in 501 of 1,084 (46.2%) Danish school-aged girls and 382 of 1,087 (35.1%) Danish school-aged boys [9]. Another study found that 13 of 275 (4.7%) medical students developed nuchal salmon patches [7]. Verbov and Steinberg studied the presence or absence of a salmon patch over the occiput and nape in 67 males and 121 females, finding typical nuchal patches in 51 (42%) of the females and forty (60%) of the males [8]. We often see salmon patch persisting as a nuchal lesion (Figure 1), and we investigated this phenomenon in 45 subjects (male, 12; female, 33) without skin disease, aged 15 to 49 years. We excluded subjects younger than 15 years and older than 50 years from our survey, because people in these age groups often develop hemangioma or seborrheic dermatitis. The ratio of persistent nuchal salmon patch was higher than expected: we found it in 71.1% (32/45 cases) of our subjects (Table 1), specifically in 69.7% (23/33 cases) of female subjects and in 75% (9/12 cases) of males (Table 1). This is a higher incidence than that reported in other studies [7][8][9]. Keywords

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Prevalence of Cutaneous Findings in Hospitalized Neonates: A Prospective Observational Study

Abstract: This study confirms that skin changes in the newborn are common, particularly desquamation, sebaceous hyperplasia, and transient toxic erythema.

Cited by 66 publications

References 9 publications

Clinical spectrum of neonatal skin disorders at Hamdard University Hospital Karachi, Pakistan

Clinical spectrum of neonatal skin disorders at Hamdard University Hospital Karachi, Pakistan

Epidemiological and Clinical Aspects of Neonatal Dermatoses at the National Teaching Hospital HKM of Cotonou Benin

Nuchal Salmon Patch Persisting into Adulthood

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