Neonatal dermatology at tertiary care teaching hospital

Abstract

Abstract. Aim: To determine the nature of the neonatal dermatological problems at Hamdard University Hospital Descriptive (Observational) cross sectional study. This study was conducted from January 2008 to December 2008 All children under the age of 28 days, with dermatological problems visiting either Pediatric or Dermatology ward/OPD/ Emergency of Hamdard University Hospital were included in the study, these cases were seen by pediatricians & confirmed by the dermatologist. The history was followed by a general physical and systemic examination and detailed skin examination. Relevant investigations were done including blood cultures. 77 cases below the age of 28 days (neonates) were seen during the study period, there were  26 cases of neonatal skin infections (33.76%), 13 cases of hereditary disorders (16.88%), 12 cases of nappy rash (15.58%), 10 cases of erythema toxicum neonatorum 9.8%), 8 cases of milia (10,38%) and 4 cases of  erythema following phototherapy   (5.19%). Pediatric dermatology deserves to be treated as a separate subspecialty requiring proper training. The close liaison between the pediatrician and the dermatologist will help in early prevention and treatment.

Key words:  Pediatrics, neonatal dermatology

Keywords

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References

1. Wagner IS, Hansen RC. Neonatal skin and skin disorders. Pediatric Dermatology, 2nd Ed. New York: Churchill Livingstone; 1995: 263-346.
2. Javed M, Jairamani C. An audit at Hamdard University Hospital. Pak Derma Journal 2006; 16: 93-96.
3. Sachdeva M, Kaur S, Nagpal M, Dewan SP. Cutaneous lesions in newborn. Indian J Dermatol Venereol Leprol 2002; 68: 334-337.
4. Sami RA, Sheer F. Transient skin eruptions in neonates. Pak Pediatr J 1988; 11: 161-166.
5. Benton EC, Kerr OA, Fisher A, et al. The changing face of dermatological practice: 25 years' experience. Br J Dermatol 2008; 159: 413-418.
6. Maqbool F, Razzaq S. Pediatric outpatient department experience of 5 years. Pak Pediatr J 1990; 23: 57-60.
7. Zahoorullah, Akhtar T, Mumtaz A. Pattern of children diseases and their management by consultants in Peshawar. Pak J Pathol 1998; 9: 131-136.
8. Barker LP, Gross P, McCarthy JT. Erythrodermas of infancy. Arch Dermatol 1958; 77: 201-209

9. Nanda A, Kaur S, Bhakoo ON, Dhall K. Survey of cutaneous lesions in Indian newborns. Pediatr Dermatol 1989; 6: 89-42.
10. Jacobs AH, Walter RG. The incidence of birth marks in the neonate. Pediatrics 1976; 58: 218- 222.
11. Osburn K, Schosser RH, Everett MA. Congenital pigmented and vascular lesions in newborn infants. J Am Acad Dermatol 1987; 16: 788-792.
12. Hirdano A, Purwako R, Jitsukawa K. Statistical study of skin changes in Japanese neonates. Pediatr Dermatol 1986; 3: 140-144.
13. Sardana K, Mahajan S, Sarkar R, et al. The spectrum of skin disease among Indian children. Pediatr Dermatol 2009; 26: 6-13.
14. Ferahbas A, Utas S, Akcakus M, Gunes T, Mistik S. Prevalence of cutaneous findings in hospitalized neonates: a prospective observational study. Pediatr Dermatol 2009; 26: 139-142.
15. Morgan AJ, Steen CJ, Schwartz RA, Janniger CK. Erythema toxicum neonatorum revisited. Cutis 2009; 83: 13-16.
16. Alakloby OM, Bukhari IA, Awary BH, Al-Wunais KM. Acne neonatorum in the eastern Saudi Arabia. Indian J Dermatol Venereol Leprol 2008; 74: 298.
17. Kahana M, Feldman M, Abudi Z, Yurman S. The incidence of birthmarks in Israeli neonates. Int J Dermatol 1995; 34: 704-706.