Magaña M, Valerio J, Mateo A, Magaña-Lozano M

Language: Spanish
References: 16
Page: 117-123
PDF size: 56.97 Kb.

ABSTRACT

Introduction. Objective: to evaluate the frequency and type of dermatologic lesions in 2 cohorts of newborns in Mexico City.
Material and methods. We prospectively studied 1 000 newborns, according to the institution in which they were delivered: 500 in a public institution (group A) and 500 at 2 private hospitals (group B) in Mexico City. A specific data sheet was prepared for this purpose; all identified and diagnosed muco-cutaneous disorders in every child, according to widely accepted clinical criteria were recorded to be analyzed on the basis of their frequency and compared to each other, and also with other series from other countries. Statistical analysis included percentages and chi-square.
Results. In this study, 100% of newborns presented an average 3 to 6 skin lesion. The skin lesions fell into 2 categories: transient and permanent. It is also demonstrated that there are very clear differences between our 2 groups; Mongolian patch is the most common transient disease and fibroepithelial polyp is the most frequent permanent disorder.
Conclusions. The information obtained in the present paper is new and relevant since there is no previous data about this subject in Mexico. Cutaneous lesions are present in 100% of newborns; they are mostly transient and usually not life-threatening. Newborn skin disorders in our population are present in every child, from 3 to 6 as an average, and vary widely according to ethnic features revealed by skin types.

REFERENCES

1. Stoll BJ, Kliegman RM. The fetus and the neonatal infant. En: Behrman RE, Kliegman RM, Jonson HB, editores. Nelson textbook of pediatrics. 17th ed. Philadelphia: WB Saunders Co.; 2004. p. 519-640.

2. Conlon JD, Drolet BA. Skin lesions in the neonate. Pediatr Clin North Am. 2004; 51: 863-88.

3. Magaña M, Vázquez R. Lesiones cutáneas transitorias en neonatos. Estudio de 100 casos. Rev Med Hosp Gral Mex. 1993; 56: 149-56.

4. Magaña M, González CN. Lesiones cutáneas en un millar de recién nacidos. Estudio de casos y controles. Gac Med Mex. 1997; 33: 407-12.

5. Larralde de Luna M. Neonatal and genetic dermatology. En: Krafchik BR, Burgdorf WHC, Katz SI, editores. Dermatology, progress & perspectives. The proccedings of the 18th world congress of dermatology 1992. New York: The Parthenon Publishing Group; 1993. p. 1172-4.

6. Hurwitz S. Clinical pediatric dermatology. 2nd ed. Philadelphia: WB Saunders Co.; 1993. p. 7-44, 215-6.

7. Darmstadt GL, Sidburg R. The skin. En: Behrman RE, Kliegman RM, Jonson HB, editores. Nelson textbook of pediatrics. 17th ed. Philadelphia: WB Saunders Co.; 2004. p. 2153-250.

8. Magaña M. Guía de dermatología pediátrica. México: Editorial Médica Panamericana/ UNAM; 1998. p. 27-39.

9. Weston WL, Lane AT. Neonatal dermatology. En: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, et al, editores. Fitzpatrick’s dermatology in general medicine. 5th ed. New York: McGraw-Hill; 1999: Vol. II. p. 1663-81.

10. Atherton DJ. The neonate. En: Champion RH, Burton JL, Burns DA, Breatnach SM, editores. Textbook of dermatology. 6th ed. Oxford: Blackwell Scientific Publications; 1998. p. 449-518.

11. Weinberg S, Prose NS, Kristal L. Color atlas of pediatric dermatology. New York: McGraw-Hill; 1998.

12. Alper JC. Genetic disorders of the skin. St Louis: Mosby Year Book; 1991.

13. Pathak MA, Nghiem P, Fitzpatrick TB. Acute and chronic effects of the sun. En: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, et al, editores. Fitzpatrick’s dermatology in general medicine. 5th ed. New York: McGraw-Hill; 1999. p. 1598-607.

14. Magaña M. Nevos melanocíticos en la infancia. Bol Med Hosp Infant Mex. 2000; 57: 280-92.

15. NIH Consensus Conference. Precursors to malignant melanoma. JAMA. 1984; 251: 1864-6.

16. Castilla EE, Dutra MG, Orioli-Parreiras MI. Epidemiology of congenital pigmented nevi: I incidente rates and relative frequencies. Br J Dermatol. 1981; 104: 307-15.