关键词: Dermatosis desquamation neonatal genodermatosis skin lesion skin manifestations

来  源:   DOI:10.4103/jfmpc.jfmpc_513_23   PDF(Pubmed)

Abstract:
UNASSIGNED: During the neonatal life cycle, various dermatological conditions are common. In comparison to the skin of adults, neonates\' skins are more susceptible to infections in the first week of their lives. These infections often lead to many dermatological skin complications and create worrisome among parents. Hence, it is crucial to diagnose and manage such affected neonates at the earliest. This study aimed to highlight and estimate the occurrence of numerous dermatoses and assess various skin changes that occurred physiologically and pathologically in neonates.
UNASSIGNED: In this cross-sectional observational study, 474 neonates were enrolled in the neonatal intensive care unit. The whole newborn skin surface, comprising the palms and soles, scalp, mucous membranes, genitalia, hair, and nails, was scrutinized under adequate light, and all changes that occurred over the skin were observed and recorded. The sample size estimation was undertaken from the references that have the least prevalent cutaneous dermatosis: hypertrichosis desquamation and napkin dermatosis. A statistical analysis like the Chi-square test was performed to associate the type of dermatosis with the parameters of age, gender, delivery type, and birth weight.
UNASSIGNED: Of the total 474 cases, 90 (18.98%) had single dermatosis, while the remaining 384 (81.01%) had more than one form of dermatosis. Among the 384 cases, sebaceous gland hyperplasia (SGH) in 105 (22.15%), Epstein pearls in 50 (10.54%), erythema toxicum neonatorum (ETN) in 40 (8.43%), physiological desquamation in 25 (5.27%), lanugo hair in 20 (4.21%), miliaria in 22 (4.64%), salmon patch in 13 (2.74%), cradle cap/seborrheic dermatitis in 6 (1.26%), vernix caseosa in 12 (2.53%), transient neonatal pustular melanosis in 13 (2.74%), congenital melanocytic nevus in 20 (4.21%), hemangioma in 15 (3.16%), neonatal acne in 5 (1.05%), napkin dermatitis in 10 (2.10%), cutis marmorata in 6 (1.26%), milia in 2 (0.42%) intertrigo 3 (0.63%), collodion baby in 2 (0.42%), and neonatal occipital alopecia in 2 (0.42%) neonates each and others, respectively.
UNASSIGNED: The findings from the present study were representative of a specific racial/geographic distribution and will assist in adding or comparing the prevalence of neonatal dermatosis with other geographic regions as the array of dermatological characterizations in neonates varies as per time and place. This study aims to provide insight into the future implications in the neonatal dermatology domain and avoid further skin complications.
摘要:
在新生儿生命周期中,各种皮肤病是常见的。与成年人的皮肤相比,新生儿皮肤在生命的第一周更容易受到感染。这些感染通常会导致许多皮肤病皮肤并发症,并在父母中令人担忧。因此,尽早诊断和管理受影响的新生儿至关重要。这项研究旨在突出和估计许多皮肤病的发生,并评估新生儿生理和病理上发生的各种皮肤变化。
在这项横断面观察研究中,474例新生儿被纳入新生儿重症监护病房。整个新生儿皮肤表面,包括手掌和鞋底,头皮,粘膜,生殖器,头发,和指甲,在足够的光线下仔细检查,观察并记录皮肤上发生的所有变化。样本量估算是从皮肤皮肤病最不普遍的参考文献中进行的:多毛症脱屑和餐巾皮肤病。进行了卡方检验等统计分析,以将皮肤病的类型与年龄参数相关联,性别,交货类型,出生体重。
在总共474例病例中,90例(18.98%)单发皮肤病,而其余384人(81.01%)患有一种以上的皮肤病。在384起案件中,皮脂腺增生(SGH)105例(22.15%),爱泼斯坦珍珠在50(10.54%),新生儿中毒红斑(ETN)40例(8.43%),生理脱皮25例(5.27%),胎毛在20(4.21%),miliaria在22(4.64%),鲑鱼片13(2.74%),摇篮帽/脂溢性皮炎6(1.26%),Vernixcaseosa在12(2.53%),新生儿短暂脓疱黑变病13例(2.74%),先天性黑素细胞痣20例(4.21%),15例血管瘤(3.16%),新生儿痤疮5例(1.05%),餐巾皮炎10(2.10%),在第6位(1.26%)中,米利亚在2(0.42%)国际3(0.63%),火棉胶宝宝在2(0.42%),新生儿枕部脱发2例(0.42%),分别。
本研究的结果代表了特定的种族/地理分布,并将有助于增加或比较新生儿皮肤病与其他地理区域的患病率,因为新生儿的皮肤病学特征阵列随时间和地点而变化。这项研究旨在深入了解新生儿皮肤病学领域的未来意义,并避免进一步的皮肤并发症。
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