|Color Atlas & Synopsis of Pediatric Dermatology, 2e|
Section 1. Cutaneous Findings in the Newborn
Topics Discussed: cutis marmorata; dermatology; neonatology; telogen effluvium; vernix caseosa.
Sections: Miscellaneous Cutaneous Disorders of the Newborn, Congenital Infections of the Newborn, Abnormalities of Subcutaneous Tissue.
Excerpt:"Vernix, derived from the same root as varnish, is the whitish-gray
covering on newborn skin and is composed of degenerated fetal epidermis
and sebaceous secretions.Age Newborns.Type of Lesion Adherent cheesy
material which dries and desquamates after birth (Fig. 1-1).While cutis marmorata is essentially always normal, its analogue
in adults, livedo reticularis, can be associated with connective
tissue disease and vasculopathies.Type Reticulated mottling (Fig.
1-2).Parents may complain that "back to sleep" is
the cause of hair loss in their child; the sleep position only accentuates
the normal loss and is not the cause.Type of Lesion Nonscarring alopecia
(Fig. 1-3).1. Full immersion baths are not recommended until
the umbilical stump is fully healed and detached.
2. At birth, blood and meconium can be gently removed with warm
water and cotton balls.
3. Umbilical cord care and/or circumcision varies from
hospital to hospital. Several methods include a local application
of alcohol (alcohol wipes), topical antibiotic (bacitracin, Polysporin,
or neosporin), or silver sulfadiazine cream (Silvadene) to the area(s)
with each diaper change. The umbilical cord typically falls off
in 7 to 14 days.
4. Until the..."
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