Proposal for an algorithm for identification of dermatopathies in the neonatal period
DOI:
https://doi.org/10.56294/saludcyt2023573Keywords:
Skin Diseases, Neonatal Period, Algorithm, DermatologyAbstract
The study of dermatopathies in newborns is understood as skin diseases or affections that are observed and affect newborns and have a diversity in form and severity according to their presentations, which are caused by infectious, environmental and genetic factors, so it is important to know the characteristics for immediate attention and prevention.The aim of the study is to propose an algorithm for the identification of dermatopathies in the neonatal period based on the infrequency or evaluation carried out by pediatricians or dermatologists in hospitals in the Ica region. The method responds to holistic projective research of an applied type that corresponds to the mixed approach of the socio-critical paradigm; The study sample comprised clinical histories and expert doctors. For the first, observation sheets were taken with the validity of the content and, for the experts, interviews and focus groups that allowed the elaboration of the proposals. The results showed the specific theoretical characteristics (observable manifestations) for each dermatopathy. In addition, its use will allow the doctor or specialist to detect the neonatal dermatopathy for better follow-up. It is concluded that the proposal deals with a structure in which it presented clinical characteristics or manifestations of each of the dermatopathies with the purpose of being used by professionals for their location and registration
References
1. Visscher MO, Utturkar R, Pickens WL, LaRuffa AA, Robinson M, Wickett RR, et al. Neonatal skin maturation--vernix caseosa and free amino acids. Pediatr Dermatol. 2011; 28(2):122-32.
2. Goodarzi H, Wu TT, Wang J, Teng JM. Neonatal Dermatology: The Normal, the Common, and the Serious. Neoreviews. 2021; 22(1): e40-e51. doi: 10.1542/neo.22-1-e40.
3. Verhave BL, Nassereddin A, Lappin SL. Embryology, Lanugo. 2022; oct 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
4. Sanaphay V, Sengchanh S, Phengsavanh A, Sanaphay A, Techasatian L. Neonatal Birthmarks at the 4 Central Hospitals in Vientiane Capital, Lao PDR. Glob Pediatr Health. 2021; Jan 27; 8:2333794X21990908. doi: 10.1177/2333794X21990908.
5. Eskin-Schwartz M, Drozhdina M, Sarig O, Gat A, Jackman T, Isakov O, et al. Epidermolytic Ichthyosis Sine Epidermolysis. Am J Dermatopathol. 2017; Jun; 39(6):440-444.
6. Firouzi H, Jalalimehr I, Ostadi Z, Rahimi S. Cutaneous Lesions in Iranian Neonates and Their Relationships with Maternal-Neonatal Factors: A Prospective Cross-Sectional Study. Dermatol Res Pract. 2020; 8410165. doi: 10.1155/2020/8410165.
7. Monteagudo B, Labandeira J, León-Muiños E, Romarís R, Cabanillas M, González-Vilas D, et al. Descamación fisiológica en el recién nacido: epidemiología y factores predisponentes [Physiological desquamation of the newborn: epidemiology and predisposing factors]. Actas Dermosifiliogr. 2011;102(5):391-4.
8. Krüger E, Sinkos F, Uhry JF, Boni JCB, Okamoto CT, Purin KSM, et al. DERMATOSES IN THE EARLY NEONATAL PERIOD: THEIR ASSOCIATION WITH NEONATAL, OBSTETRIC AND DEMOGRAPHIC VARIABLES. Rev Paul Pediatr. 2019; 3;37(3):297-304. doi: 10.1590/1984-0462/;2019;37;3;00012.
9. Techasatian L, Sanaphay V, Paopongsawan P, Schachner LA. Neonatal Birthmarks: A Prospective Survey in 1000 Neonates. Glob Pediatr Health. 2019; 29; 6:2333794X19835668. doi: 10.1177/2333794X19835668.
10. Roques E, Ward R, Mendez MD. Erythema Toxicum. 2022 Sep 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2022 Jan.
11. Giuffrida R, Borgia F, De Pasquale L, Guarneri F, Cacace C, Cannavò SP. Skin lesions in preterm and term newborns from Southern Italy and their relationship to neonatal, parental and pregnancy-related variables. G Ital Dermatol Venereol. 2019; 154(4):400-404. doi: 10.23736/S0392-0488.18.06068-6.
12. Chadha A, Jahnke M. Common Neonatal Rashes. Pediatr Ann. 2019;1;48(1): e16-e22. doi: 10.3928/19382359-20181206-01.
13. Ghosh S. Neonatal pustular dermatosis: an overview. Indian J Dermatol. 2015; 60(2):211. doi: 10.4103/0019-5154.152558.
14. Jahnke M, Kamat D. Neonatal Dermatology. Pediatr Ann. 2019;48(1): e9-e10. doi: 10.3928/19382359-20181210-02.
15. Burdall O, Willgress L, Goad N. Neonatal skin care: Developments in care to maintain neonatal barrier function and prevention of diaper dermatitis. Pediatr Dermatol. 2019;36(1):31-35.
16. Siegel M, Lee LW. Neonatal Skin Emergencies. Pediatr Ann. 2019;48(1): e36-e42. doi: 10.3928/19382359-20181210-03.
17. Borda LJ, Perper M, Keri JE. Treatment of seborrheic dermatitis: a comprehensive review. J Dermatolog Treat. 2019;30(2):158-169.
18. Ábrahám R, Meszes A, Gyurkovits Z, Bakki J, Orvos H, Csoma ZR. Cutaneous lesions and disorders in healthy neonates and their relationships with maternal-neonatal factors: a cross-sectional study. World J Pediatr. 2017;13(6):571-576. doi: 10.1007/s12519-017-0063-0.
19. Rayala BZ, Morrell DS. Common Skin Conditions in Children: Neonatal Skin Lesions. FP Essent. 2017; 453:11-17.
20. Chaithirayanon S, Chunharas A. A survey of birthmarks and cutaneous skin lesions in newborns. J Med Assoc Thai. 2013 Jan;96 Supp: S49-53.
21. Syed MMA, Amatya B, Sitaula S. Median raphe cyst of the penis: a case report and review of the literature. J Med Case Rep. 2019 Jul 14;13(1):214.
22. Kumar P, Das A, Savant SS, Barkat R. Median raphe cyst: report of two cases. Dermatol Online J. 2017;23(2):13030/qt2fx2x9b0.
23. Afsar FS, Cun S, Seremet S. Neonatal sucking blister. Dermatol Online J. 2019 Nov 15;25(11):13030/qt33b1w59j.
24. Monteagudo B, Labandeira J, León-Muiños E, Carballeira I, Acevedo A, Suárez-Amor O, Toribio J. Ampollas de succión neonatales: prevalencia y diagnóstico diferencial [Neonatal sucking blisters: prevalence and differential diagnosis]. An Pediatr (Barc). 2011;74(1):62-4.
25. Chessa MA, Filippi F, Patrizi A, Vollono L, Sechi A, D'Ercole M, Leuzzi M, Virdi A, Neri I. Aplasia cutis: clinical, dermoscopic findings and management in 45 children. J Eur Acad Dermatol Venereol. 2020;34(11): e724-e726.
26. Kanada KN, Merin MR, Munden A, Friedlander SF. A prospective study of cutaneous findings in newborns in the United States: correlation with race, ethnicity, and gestational status using updated classification and nomenclature. J Pediatr. 2012;161(2):240-5. doi: 10.1016/j.jpeds.2012.02.052.
27. Hulsmann AR, Oranje AP. Educational paper: neonatal skin lesions. Eur J Pediatr. 2014 May;173(5):557-66. doi: 10.1007/s00431-013-1956-0.
28. Amer M, Diab N, Soliman M, Amer A. Neonatal skin care: what should we do? A four-week follow-up randomized controlled trial at Zagazig University Hospitals. Int J Dermatol. 2017;56(11):1198-1203. doi: 10.1111/ijd.13735.
29. Neto MPDS, Assis BR, Andrade GR. Sebaceous nevus of Jadassohn: review and clinical-surgical approach. An Bras Dermatol. 2022 Sep-Oct;97(5):628-636.
30. Moody MN, Landau JM, Goldberg LH. Nevus sebaceous revisited. Pediatr Dermatol. 2012;29(1):15-23.
31. Wobser M, Ernestus K, Hamm H. Pediatric dermatohistopathology--histopathology of skin diseases in newborns and infants. J Dtsch Dermatol Ges. 2015;13(6):535-48. English, German. doi: 10.1111/ddg.12651.
32. Reginatto FP, DeVilla D, Muller FM, Peruzzo J, Peres LP, Steglich RB, et al. Prevalence and characterization of neonatal skin disorders in the first 72h of life. J Pediatr (Rio J). 2017;93(3):238-245. doi: 10.1016/j.jped.2016.06.010.
33. Haveri FT, Inamadar AC. A cross-sectional prospective study of cutaneous lesions in newborn. ISRN Dermatol. 2014 Jan 20; 2014:360590. doi: 10.1155/2014/360590.
34. Reginatto FP, Muller FM, Peruzzo J, Cestari TF. Epidemiology and Predisposing Factors for Erythema Toxicum Neonatorum and Transient Neonatal Pustular: A Multicenter Study. Pediatr Dermatol. 2017;34(4):422-426. doi: 10.1111/pde.13179.
35. Fölster-Holst R, Shukla R, Kassir M, Galadari H, Lotti T, Wollina U, et al. Treatment Update of Port-Wine Stain: A Narrative Review. J Drugs Dermatol. 2021;20(5):515-518.
36. Kolb L, Troxell T, Krishnamurthy K. Nevus Anemicus. 2022 Aug 21. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
37. Thakur V, Dev A, Vinay K. Dermatoscopy of Nevus Anemicus. Indian Dermatol Online J. 2021;13(6):822-823.
38. Flores RC. Aplicación del score TRIPS en los neonatos que requieren traslado interhospitalario. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria 2021;1:5–5. https://doi.org/10.56294/ri20215.
39. Ullah F, Schwartz RA. Nevus depigmentosus: review of a mark of distinction. Int J Dermatol. 2019;58(12):1366-1370.
40. Zuniga R, Nguyen T. Skin conditions: common skin rashes in infants. FP Essent. 2013; 407:31-41.
41. Chua RF, Pico J. Dermal Melanocytosis. 2022 Aug 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
42. Fosse N, Itin P. Pigmentary lines of the newborn: a case report and review of the literature. Dermatology. 2014;228(3):198-201.
43. Garg G, Bhalla M, Thami GP. Transient infantile patterned hyperpigmentation. Pediatr Dermatol. 2012;29(3):372-3.
44. Zayour M, Lazova R. Congenital melanocytic nevi. Clin Lab Med. 2011;31(2):267-80.
45. Lyon VB. Congenital melanocytic nevi. Pediatr Clin North Am. 2010;57(5):1155-76.
46. Martínez MG. Comportamiento de las modalidades ventilatorias en el Servicio de Neonatología. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria 2021;1:2–2. https://doi.org/10.56294/ri20212.
47. Anderson S. Café au Lait Macules and Associated Genetic Syndromes. J Pediatr Health Care. 2020;34(1):71-81.
48. Salazar-Diaz A. Permanent and temporary skin lesions in newborns: Hospital Nacional Dos de Mayo. Lima-Perú: 2013-2014. Rev médica carrionica. 2016 Apr 5; 2(2): 3
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Copyright (c) 2023 Doris Fuster-Guillén, Jesús Neyra-Léon, Jesús Neyra-Díaz, Yolvi Ocaña-Fernández (Author)
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