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Neonatal Dermatologic Findings in Uruguay: Epidemiology and Predisposing Factors

M K De María1, K M Borda1, V N Arretche2

  • 1Cátedra de Neonatología, Centro Hospitalario Pereira Rossell, Montevideo, Uruguay.

Actas Dermo-Sifiliograficas
|December 15, 2020
PubMed

Insights

All newborns exhibit benign, transient skin findings as they adapt to life outside the womb. These common neonatal dermatologic characteristics vary based on factors like gestational age and ethnicity.

Area of Science:

  • Neonatal Dermatology
  • Pediatric Skin Health
  • Infant Adaptation

Background:

  • The skin plays a crucial role in a newborn's transition to extrauterine life.
  • Neonatal infants commonly display benign, transient skin features influenced by maternal, gestational, and neonatal factors.

Purpose of the Study:

  • To determine the prevalence of various dermatologic findings in newborns within the first 72 hours of life.
  • To investigate associations between these skin findings and maternal, gestational, or neonatal factors.

Main Methods:

  • A descriptive, observational, cross-sectional study was conducted.
  • The skin of 2811 neonates was examined within 72 hours of birth.
  • Statistical analysis was performed to calculate proportions, confidence intervals, and associations.

Main Results:

  • All neonates presented with at least one skin finding; the median number of findings was 8.
  • Common findings included lanugo (98%), physiological scaling (79.7%), and sebaceous hyperplasia (73.3%).
  • Specific findings were associated with gestational age, sex, ethnicity, and delivery type.

Conclusions:

  • Neonatal skin characteristics are normal adaptations to extrauterine life and are predominantly benign and transient.
  • Factors such as maternal age, delivery method, gestational age, birth weight, sex, and ethnicity are linked to specific neonatal skin presentations.
Abstract

Keywords:
Dermatologic findingsDermatosis neonatalHallazgos dermatológicosInfantLesiones de pielNeonatalNewbornRecién nacidoSkin diseasesSkin lesions

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