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  • Presentation

Case Based Discussion in Neonatal Dermatology

Description

The discussion centers around various oral lesions and hair disorders in neonates, emphasizing case presentations and diagnostic challenges. The speaker begins by illustrating cases such as congenital epulis, eruption cysts, and Rigafede syndrome in newborns. He discusses the diagnosis and treatment of these conditions, including the complications that may arise, such as feeding difficulties or respiratory issues. The presentation also highlights the rare instances of teratomas in neonates, detailing a specific case where histopathology confirmed the diagnosis. Additionally, the speaker explores hair disorders like Netherton syndrome, discussing their clinical features and treatment evolution. Other significant cases include congenital conditions leading to scalp erosion and nail dystrophy linked to congenital candidiasis. The talk concludes with an emphasis on the need for multidisciplinary approaches to manage these neonatal dermatological conditions effectively. Overall, the lecture underscores the importance of recognizing and properly diagnosing various skin and hair abnormalities in newborns to ensure timely and effective treatment.

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Conclusions

  • Congenital epulis is a rare benign oral lesion in newborns that typically requires surgical excision due to feeding and aesthetic concerns.
  • Eruption cysts in newborns are related to the eruption of primary and neonatal teeth, appearing as compressible lesions that typically resolve without intervention.
  • Riga-Fede syndrome leads to traumatic ulcerations from neonatal teeth, causing significant feeding difficulties and may require tooth extraction.
  • Bednar's aphthae are small oral ulcers in newborns caused by feeding methods, often requiring amendments in feeding techniques for treatment.
  • Congenital ranulas are rare lesions resulting from obstructed salivary glands and usually treated by surgical excision or marsupialization.
  • Congenital fibrous hamartomas of the tongue tend to be stable lesions that do not typically necessitate surgical intervention.
  • Oral teratomas, though extremely rare, can be detected at birth and may lead to airway obstruction, requiring careful monitoring.
  • Netherton syndrome is characterized by complications that benefit from treatment with dupilumab, showing significant improvement in patients.
  • Neonatal hair disorders, such as trichorrhexis invaginata associated with Netherton syndrome, can pose challenges but are manageable with appropriate interventions.
  • Congenital candidiasis may present solely with onychodystrophy, emphasizing the need for recognition and treatment as this can indicate underlying issues.
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  • Di Altobrando, Ambra et al. "Congenital fibrous hamartoma of the tip of the tongue: A novel peculiar entity." Pediatric dermatology vol. 38,1 (2021).
  • Pediatric Dermatology Vol. 9 No. 1 52-56, Oral-Facial-Digital Type 1 Syndrome of Papillon-Léage and Psaume, Margarita Larralde de Luna, M.D ., María Luisa Raspa, M.D ., and Jesús Ibargoyen, M.D.
  • THE JOURNAL OF DERMATOLOGY CONCISE COMMUNICATION, Successful treatment of Netherton syndrome with dupilumab: A case report and review of the literature, Accepted: 12 November 2021, Received: 13 October 2021, DOI: 10.1111/1346-8138.16253.
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