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Published on: September 15, 2023
Developmental Changes in Neonatal and Infant Skin Structures During the First 6 Months: In Vivo Observation
Yuki Miyauchi1, Yayoi Shimaoka2,3, Tsutomu Fujimura1
1Biological Science Research, Kao Corporation, Ichikai, Haga, Tochigi, Japan.
Insights
Infant skin undergoes significant structural development in the first three months after birth, with changes in thickness, dermal papillae formation, and microvasculature. This maturation parallels overall infant development.
Area of Science:
- Dermatology
- Developmental Biology
- Neonatal Care
Background:
- Neonatal and infant skin structure development requires further characterization.
- Understanding these changes is crucial for assessing skin health and function in early life.
Purpose of the Study:
- To investigate and clarify the in vivo developmental changes in skin structures of neonates and infants.
- To document structural maturation from the neonatal period through the first six months of life.
Main Methods:
- Utilized confocal laser scanning microscopy on skin samples from fifteen healthy, full-term neonates.
- Measurements were taken at 4-7 days, 1, 3, and 6 months post-birth on buttock, thigh, and forearm.
- Assessed dermoepidermal junction, stratum corneum thickness, epidermal thickness, and microvascular development.
Main Results:
- Stratum corneum thickness significantly decreased within the first three months.
- Dermal papillae emerged and developed gradually post-birth, correlating with increased epidermal thickness.
- Complex neonatal microvasculature simplified, concentrating at dermal papillae by three months.
Conclusions:
- Infant skin exhibits significant structural immaturity at birth, developing substantially within the first three months.
- These structural changes are indicative of ongoing functional and developmental maturation of the skin.
- The findings provide a baseline for understanding normal infant skin development.
Background/Objectives:
Developmental changes of structures in neonatal and infant skin have not been well characterized. The purpose of this study was to clarify changes in skin structures during neonatal and infant growth in vivo.
Methods:
Fifteen healthy, full-term neonates (seven girls, eight boys) were studied. The measurements were performed 4 to 7 days (neonate) and 1, 3, and 6 months after birth on the buttock, upper thigh, and ventral forearm skin using a confocal laser scanning microscope. Developmental changes in dermoepidermal junction structures, stratum corneum thickness, epidermal thickness, and microvascular development were investigated.
Results:
A significant decrease in stratum corneum thickness was observed over the 3 months after birth. Dermal papillae were not observed in neonatal skin but were observed gradually over the next 3 months. Epidermal thickness, determined from the skin surface to the bottom of the epidermal layer, increased significantly from 4 to 7 days to 1 month of age, indicating the formation of dermal papillae and rete ridges. Complicated microvascular structures were observed in neonatal skin but disappeared gradually and were observed only at the dermal papillae at 3 months of age.
Conclusions:
Our results reveal that infant skin is in a developmental stage structurally up to 3 months of age, paralleling skin functional and developmental maturation.
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