Sachdeva Meenakshi, Kaur Surjeet, Nagpal Madhu, Dewan S P
Department of Skin and STD, Govt. Medical College/G. N. D. Hospital, Amritsar, India.
Indian J Dermatol Venereol Leprol. 2002 Nov-Dec;68(6):334-7.
Five hundred unselected newborn babies delivered in the Department of Obstetrics and Gynaecology, Unit II of SGBT Hospital attached to Government Medical College, Amritsar during April 2000 to October 2000 were examined for cutaneous lesions daily for the first five days after birth. Different cutaneous lesions were seen in 474(94.8%) newborns. The physiological skin changes observed in order of frequency were Epstein pearls in 305(61%), Mongolian spot in 301(60.2%), superficial cutaneous desquamation in 200(40%), icterus in 128(25.6%), milia in 119(23.8%), sebaceous gland hyperplasia in 107(21.4%), occipital alopecia in 94(18.8%), lanugo in 72(14.4%), peripheral cyanosis in 47(9.4%), breast hypertrophy in 29(5.8%) and miniature puberty in 28(5.6%) newborns. Of the transient non-infective skin diseases, erythema toxicum neonatorum was observed most commonly in 105(21%), followed by miliaria rubra in 103(20.6%) and acne neonatorum in 27(5.4%) newborns. The naevi and other developmental defects in the descending order were salmon patch in 69(13.8%), congenital melanocytic noevi in 10(2%), accessory tragi in 3(0.6%), spina bifida in 2(0.4%), hydrocephalus in 1(0.2%) and poliosis in 1(0.2%) newborns. Cradle cap was the only dermatitis observed in 50(10%) newborns. One (0.2%) case each of Harlequin ichthyosis and labial cyst was seen.
2000年4月至2000年10月期间，在阿姆利则政府医学院附属SGBT医院第二妇产科分娩的500名未经挑选的新生儿，在出生后的头五天每天检查皮肤病变情况。474名（94.8%）新生儿出现了不同的皮肤病变。按出现频率依次观察到的生理性皮肤变化为：305名（61%）新生儿出现爱泼斯坦珠，301名（60.2%）新生儿出现蒙古斑，200名（40%）新生儿出现浅表皮肤脱屑，128名（25.6%）新生儿出现黄疸，119名（23.8%）新生儿出现粟丘疹，107名（21.4%）新生儿出现皮脂腺增生，94名（18.8%）新生儿出现枕部脱发，72名（14.4%）新生儿出现胎毛，47名（9.4%）新生儿出现周围性发绀，29名（5.8%）新生儿出现乳腺肥大，28名（5.6%）新生儿出现微小青春期。在短暂性非感染性皮肤病中，最常见的是105名（21%）新生儿出现新生儿毒性红斑，其次是103名（20.6%）新生儿出现痱子，27名（5.4%）新生儿出现新生儿痤疮。痣和其他发育缺陷按降序排列为：69名（13.8%）新生儿出现鲑鱼斑，10名（2%）新生儿出现先天性黑素细胞痣，3名（0.6%）新生儿出现副耳，2名（0.4%）新生儿出现脊柱裂，1名（0.2%）新生儿出现脑积水，1名（0.2%）新生儿出现白发症。50名（10%）新生儿出现的摇篮帽是观察到的唯一一种皮炎。观察到1例（0.2%）丑角鱼鳞病和1例唇囊肿。
