LaRusso Jennifer, Wilson Joshua, Ceilley Roger
Dermatology PC, West Des Moines, Iowa.
J Clin Aesthet Dermatol. 2015 Mar;8(3):46-8.
Phototherapy is commonly utilized in the treatment of neonatal jaundice. The authors observed a rare cutaneous complication of visible blue light phototherapy in a neonate with hyperbilirubinemia. A three-day-old neonate was evaluated for a purpuric rash after initiation of phototherapy for treatment of hyperbilirubinemia. Cutaneous examination revealed purpuric, nonblanching, well-demarcated lesions on the chest, abdomen, arms, and chin with sparing at shielded sites. The history, physical examination, and laboratory results support the diagnosis of purpuric phototherapy-induced eruption. The authors present a case report of this uncommon cutaneous eruption in a transfused neonate undergoing phototherapy for treatment of hemolytic disease of the newborn.
光疗常用于新生儿黄疸的治疗。作者观察到一名患有高胆红素血症的新生儿在接受可见蓝光光疗时出现了一种罕见的皮肤并发症。一名3日龄新生儿在开始光疗治疗高胆红素血症后,因出现紫癜性皮疹而接受评估。皮肤检查发现胸部、腹部、手臂和下巴有紫癜性、不褪色、边界清晰的皮疹,遮盖部位未受累。病史、体格检查和实验室检查结果支持紫癜性光疗引起的皮疹的诊断。作者报告了一例接受输血的新生儿在接受光疗治疗新生儿溶血病时出现这种罕见皮肤皮疹的病例。