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新生儿皮肤:常见皮肤问题

Newborn Skin: Common Skin Problems.

作者信息

Kutlubay Zekayi, Tanakol Ali, Engýn Burhan, Onel Cristina, Sýmsek Ersin, Serdaroglu Server, Tuzun Yalçýn, Yilmaz Erkan, Eren Bülent

机构信息

Dermatology Department, Ýstanbul, Cerrahpasa Faculty of Medicine, Ýstanbul University, Istanbul, Turkey.

Department of Obstetrics and Gynecalogy, "Vasile Goldiº" Western University, Arad, Romania.

出版信息

Maedica (Bucur). 2017 Jan;12(1):42-47.

Abstract

The newborn skin can be separated from adult's skin in several ways. In dermatologic examination it can be easily observed that it is thinner, less hairy and has less sweat and sebaceous gland secretions. These differentiations present especially in preterm newborns. Their skin is exposed to mechanical trauma, bacteria and weather, heat alterations. At birth, newborn skin is protected by the coverage of vernix caseosa, which has lubricating and antibacterial features and its pH ranges from 6.7 to 7.4. Beneath the vernix caseosa the skin has a pH of 5.5-6.0. In newborn dermatologic examination it is very important to distinguish transient benign dermatoses and severe diseases, make early diagnosis and treat congenital skin disorders. Although the benign cases are common in this life period, clinical presentations can be much more exaggerated, dramatic and cause a great deal of anxiety to parents. Therefore, as a doctor, knowing the dermatological, pathological and non-pathological common skin rashes guides the family in the right direction, offers advice to reduce uncertainty and time for the treatment of severe conditions and builds a confidential doctor-patient relationship. In this review, our aim is to provide a general overview to common skin rashes in newborn period.

摘要

新生儿的皮肤在几个方面与成人皮肤有所不同。在皮肤科检查中,可以很容易地观察到新生儿皮肤更薄、毛发更少,汗腺和皮脂腺分泌物也更少。这些差异在早产儿中尤为明显。他们的皮肤容易受到机械创伤、细菌以及天气和温度变化的影响。出生时,新生儿的皮肤由胎脂覆盖保护,胎脂具有润滑和抗菌特性,其pH值在6.7至7.4之间。在胎脂之下,皮肤的pH值为5.5 - 6.0。在新生儿皮肤科检查中,区分短暂性良性皮肤病和严重疾病、进行早期诊断以及治疗先天性皮肤疾病非常重要。虽然良性病例在这个时期很常见,但临床表现可能会更加夸张、显著,给家长带来很大的焦虑。因此,作为医生,了解皮肤病学、病理学和非病理性常见皮疹,能为家庭指引正确方向,提供建议以减少不确定性,争取严重病症的治疗时间,并建立互信的医患关系。在本综述中,我们的目的是对新生儿期常见皮疹进行概述。

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