Thursday, June 3, 2010

Cephalhematoma~



  • subperiosteal bleed
  • limited to bone
  • does not cross suture line
  • a/w overlying non-depressed skull fracture
  • slow bleeders - not present at birth
  • increase in size in few days
  • a rim can be felt around the edge
  • resolve spontaneously over several months
  • can be fooled by bilateral cephalhematomas
  • common cause of jaundice

Cafe-au-lait spots~


  • tan or light brown lesions
  • can occur anywhere
  • vary in size
  • sharply demarcated

Nevus sebaceus (of Jodassohn)~


  • seen in infancy
  • yellow-orange plaques resembling flat warts
  • located on scalp
  • have potential to become malignant
  • usually removed

Capillary (Strawberry) hemangiomas~


  • macular lesions
  • quickly grow in the 1st year of life
  • occur anywhere
  • bright red, reminiscent of a strawberry
  • tx not necessary
  • regress spontaneously
  • + stridor - subglottic hemangioma

Salmon Patch~


  • seen over the eyelids, glabella, nuchal area
  • flat vascular lesion
  • disappear with time
  • DDx - Port wine stains (permanent & unilateral)
  • becomes darker red when cries

Wednesday, June 2, 2010

Neonatal Acne~


  • response to circulating androgenic hormones
  • rarely require therapy

Cutis marmorata~


  • vasomotor response to cold stress
  • lacy pattern - cobblestone
  • seen in trisomy 21, trisomy 18