Document Detail

Annular rash on a newborn.
MedLine Citation:
PMID:  16451779     Owner:  NLM     Status:  MEDLINE    
A full-term, healthy female newborn was delivered via cesarean section because the labor did not adequately progress. The mother, age 33 years and of Asian ancestry, had a significant medical and obstetrical history: chronic hepatitis B carrier without cirrhosis, cutaneous lupus erythematosus (positive anti-Ro and anti-La antibodies), and a positive group B streptococcal recto-vaginal culture at 35 weeks' gestation. The mother received 4 doses of intravenous ampicillin during labor. The infant's initial hospital course was complicated by a transient and otherwise asymptomatic bradycardia. An electrocardiogram (ECG) confirmed a heart rate of 96 with normal interval parameters, but there were changes suggestive of left ventricular hypertrophy. An echocardiogram was normal. Follow-up office visits for common newborn feeding problems demonstrated consistent weight gain and normal vital signs, including heart rate and facial milia. However, by age 4 weeks an erythematous eruption extending from the frontal scalp and forehead to the cheek area had developed. What is the differential diagnosis? What tests should be done to make the diagnosis?
Anne-Marie Warner; Keith A Frey; Suzanne Connolly
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of family practice     Volume:  55     ISSN:  0094-3509     ISO Abbreviation:  J Fam Pract     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-02     Completed Date:  2006-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7502590     Medline TA:  J Fam Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  127-9     Citation Subset:  AIM; IM    
Departments of Family Medicine and Dermatology, Mayo Clinic Arizona, 13737 North 92nd Street, Scottsdale, AZ 85260, USA.
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MeSH Terms
Diagnosis, Differential
Exanthema / diagnosis,  etiology*
Follow-Up Studies
Infant, Newborn
Lupus Erythematosus, Cutaneous / complications*,  diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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