Ekiz Ozlem, Gül Ulker, Mollamahmutoğlu Leyla, Gönül Müzeyyen
Department of Dermatology, Ankara Etlik Ihtisas Education and Research Hospital, Ankara, Turkey.
Ann Dermatol. 2013 Feb;25(1):1-4. doi: 10.5021/ad.2013.25.1.1. Epub 2013 Feb 14.
Cutaneous lesions are commonly seen in the newborn period and exhibit inconsistency from the skin lesions of an adult.
The present study was carried out with an aim to determine the frequency of physiologic and pathologic cutaneous findings in newborns.
Typically, 1234 newborns were included in this study. A questionnaire about maternal gestational history, maternal and family history was issued to the parents of each newborn. The presence of cutaneous lesions was recorded.
Overall, 642 (52%) of the newborns were male and 592 (48%) were female. Typically, 831 newborns (67.3%) had at least one cutaneous lesion. The prevalence of genital hyperpigmentation and milia was significantly higher in males. In premature newborns, the pervasiveness of cutis marmorata and genital hyperpigmentation was found to be significantly higher. Caput succedaneum, transient neonatal pustular melanosis and cyanosis appeared predominantly in vaginally born infants. Erythema toxicum neonatorum was seen in infants, who were born by cesarean section. The predominance of Mongolian spots and erythema toxicum neonatorum were significantly higher in the newborns of the multiparous mothers; however, caput succedaneum was significantly higher in newborns of the primiparous mothers.
A number of studies about neonatal dermatoses have been carried out involving different methods in various countries. We consider that our study may be useful in literature, as it has been carried out involving large number of maternal parameters.
皮肤病变在新生儿期很常见,且与成人的皮肤病变表现不一致。
本研究旨在确定新生儿生理性和病理性皮肤表现的发生率。
本研究共纳入1234例新生儿。向每个新生儿的父母发放了一份关于母亲妊娠史、母亲及家族史的问卷。记录皮肤病变的存在情况。
总体而言,642例(52%)新生儿为男性,592例(48%)为女性。通常,831例(67.3%)新生儿至少有一处皮肤病变。男性生殖器色素沉着和粟丘疹的发生率显著更高。在早产儿中,大理石样皮肤和生殖器色素沉着的发生率显著更高。头皮水肿、新生儿一过性脓疱性黑素沉着症和发绀主要出现在经阴道分娩的婴儿中。新生儿毒性红斑见于剖宫产出生的婴儿。经产妇新生儿中蒙古斑和新生儿毒性红斑的发生率显著更高;然而,初产妇新生儿中头皮水肿的发生率显著更高。
在不同国家,已经采用不同方法开展了多项关于新生儿皮肤病的研究。我们认为我们的研究可能对文献有帮助,因为它涉及了大量母亲相关参数。