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  • Presentation

Neonatal Dermatology: Case-Based Discussions

Description

The discussion on neonatal dermatology presents several case studies highlighting unique skin conditions in infants. The first case involves a 40-day-old boy with erythematous macules that were later diagnosed as abdominal talengiectasia, which is a benign condition that resolves spontaneously within a few months. The second case involves a 25-day-old girl with a congenital midline neck cyst, identified as an infundibular follicular cyst associated with a fusion defect, which also resolves without significant complications. Another infant presented with acquired macules on the lower limbs, presumed to be due to trauma from a baby carrier, emphasizing the risks associated with their improper use. Another case discussed was a baby with linear hyperpigmentation on the abdomen, diagnosed as 'pigmentary lines of the newborn,' which is typically transient in nature. Finally, a three-month-old boy who had been treated for a vascular malformation developed flaccillate erythema after bleomycin treatment, a side effect of the chemotherapy drug that has cytotoxic properties. The emphasis throughout is on recognizing these conditions as benign, the importance of accurate diagnoses to reassure parents, and the necessity of educating them on safe practices for infant care.

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Conclusions

  • Transient abdominal telangiectasia of the newborn (TATN) is a distinctive entity that usually appears shortly after birth and spontaneously resolves within three months.
  • Most cases of TATN have no associated abnormalities, but some may arise in the context of increased intraabdominal pressure.
  • The Midline Anterior Neck Inclusion Cyst (MANIC) is a recently described superficial congenital development anomaly that is benign and typically requires no treatment unless symptomatic.
  • Conditions associated with baby carriers can lead to erythematous or purpuric skin lesions in infants due to tourniquet effects and capillary fragility, which usually resolve after cessation of use.
  • Pigmentary lines in newborns are benign transient lesions that often appear soon after birth and disappear within months, typically without complications.
  • Bleomycin can cause flagellate erythema, a benign and self-limiting skin reaction characterized by pruritic streaks and hyperpigmentation, often following sclerotherapy for vascular malformations.
  • Juzot C, et al. Transient abdominal telangiectasia of the newborn. Pediatr Dermatol. 2021; 38:864-7.
  • Cutrone M, Van Gysel D. Transient abdominal telangiectasia of the newborn: Four new cases with abdominal distension. Pediatr Dermatol. 2024 Jan-Feb;41(1):73-75. doi: 10.1111/pde.15351.
  • Walsh R, North J, Cordoro K M, Rodríguez Bandera A I, Kristal L, Frieden I J. Midline anterior neck inclusion cyst: A novel superficial congenital developmental anomaly of the neck. Pediatr Dermatol. 2018 Jan;35(1):55-58. doi: 10.1111/pde.13371.
  • Pinto C, Lorca-Garcia C, Berenguer B, De Tomás Palacios M E. Bleomycin-induced flagellate erythema after venous malformation sclerosis-Case report and brief review. Pediatr Dermatol. 2017. doi: 10.1111/pde.13297.