U053. Neonatal Inpatient Consults

In this presentation, Dr. Neha Poor discusses several neonatal cases involving skin conditions and diagnoses. The first case revolves around a two-week-old male with blisters, leading to the diagnosis of incontinentia pigmenti, a condition more commonly seen in females but possible in males due to genetic mutations. The second case presents a 13-hour-old female with multiple nodules, ultimately diagnosed as metastatic neuroblastoma, highlighting the importance of considering this aggressive cancer in newborns displaying skin abnormalities. Dr. Poor emphasizes the significance of a thorough workup, including CBC, skin biopsy, and imaging where necessary, alongside recognizing the classic 'blueberry muffin' rash associated with several conditions like TORCH infections and hematologic disorders. Following this, a case of neonatal lupus is discussed, characterized by annular plaques and a dusky appearance, emphasizing the role of maternal antibodies and the potential for congenital heart block in affected infants. The talk concludes with cases of congenital hemangiomas and congenital self-healing reticular histiocytosis, underscoring the need for careful diagnosis and monitoring due to possible systemic involvement. Throughout the session, Dr. Poor reinforces the relevance of dermatological knowledge in neonatology, evidencing the collaborative approach among medical professionals for effective patient care.