Take Care of Newborn Baby Skin

Take Care of Newborn Baby Skin

Picture: Strawberry Birth Mark

Diffuse capillary naevi on the face, eyelids, or occiput are common and resolve within a few months.
The “strawberry mark” (Strawberry Angioma) starts as a tiny red spot and grows rapidly for several weeks until it has a raised red appearance with small white areas, suggesting the seeds of a strawberry. Such marks are common in preterm babies. They may occur anywhere on the body but cause no symptoms, except on the eyelids, where they may prevent easy opening of the eyes and need treatment. Strawberry naevi grow, often rapidly, for 3–9 months, but at least 90% resolve spontaneously, either completely or partially. Resolution usually begins at 6–12 months and is complete in half the children by the age of five and in 70% by the age of seven years. In 80% of cases these naevi resolve completely without trace.

The port wine stain is not raised and may be extensive. It does not resolve, but the skin texture remains normal. When the naevus occurs in the distribution of the trigeminal nerve, there may be an associated intracranial vascular anomaly.

Neonatal erythema (erythema “toxicum”) consists of blotchy ill defined areas of bright erythema surrounding white or yellow wheals which may resemble septic spots. It usually appears on the second day of life and in most infants clears within 48 hours. The lesions contain many eosinophils and have no pathological importance. Neonatal erythema is more common in full term infants. By ringing individual lesions with a skin pencil they can be shown to disappear in a few hours, to be replaced by others elsewhere. This contrasts with septic lesions, which appear later and do not resolve so quickly.

Mongolian blue spots are patchy accumulations of pigment, especially over the buttocks and lower back in infants of races with pigmented skins. They are common in babies of African or Mongolian descent, but also occur in Italian and Greek babies. They may be mistaken for bruises and a wrong diagnosis of non-accidental injury made. They become less obvious as the skin darkens.

A midline pit over the spine is most commonly found over the coccyx, where it does not usually communicate with the spinal canal. A midline pit anywhere else along the spine may be connected with an underlying sinus, which may communicate with the spinal canal and requires excision to prevent the entry of bacteria and meningitis.



References:
Bernard Valman. 2002. ABC of the First Year. London: BMJ Books.
Image Source: http://doctorv.ca/cosmetic-services/telangiectasia-broken-facial-blood-vessels/strawberry-hemangioma-strawberry-angioma/  (downloaded Januari 2, 2014 at 22:16 GMT+07)

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