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IJHSR. 2016; 6(4): 80-92


Study of Cutaneous Lesions in Term Neonates in a Tertiary Care Hospital.

Anuja Anna Varghese, S. Srikanth, D. Gunasekaran, Najuk Mehta.

Abstract
Introduction: Newborn period is described as the first 4 weeks of extra-uterine life. In comparison to the skin of adults, the skin and appendage of newborns are different. Majority of the neonatal cutaneous lesions do not require therapy as they may be physiological and transient. It is important to distinguish between benign dermatoses in newborns from more serious disorders with cutaneous manifestations. This will help in recognition of the lesion and allows the physician to proceed appropriately, reassure the parents and initiate further evaluation or treatment as necessary.
Materials and Methods: This was an institutional cross sectional study, conducted between February 2014 to January 2015. A total of 300 babies within 48 hours of life, born to a healthy mother were enrolled in this study. All term neonates satisfying the inclusion criteria were examined thoroughly in daylight to detect the morphology of skin lesions and findings were recorded.
Results: The most common lesion seen was Mongolian spot (38.0%) followed by Milia (27.7%), Miliaria rubra (7.0%), Epstein pearls (7.0%), Erythema toxicum neonatorum (5.0%), Miliaria crystallina (4.7%), Scaling (4.0%), Acne neonatorum (3.0%), Cutis marmorata (2.0%), Miliaria pustulosa (1.0%), Acrocyanosis (0.3%), Impetigo contagiosum (0.3%), Vernix caseosa (0.3%), Cradle cap (0.3%). There were 224(74.67%) and 39(13.0%) babies with one and two lesions respectively. The babies without any lesions were 37(12.33%).
Conclusion: Mongolian spots to be the commonest skin lesion observed in newborns irrespective of gender, gestational age, consanguinity, parity, type of delivery and socioeconomic status. The physiological lesions were more prevalent in newborns compared to pathological lesions.

Key words: Neonate, Dermatoses, Mongolian spot, Milia.



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