Document Detail

Transient neonatal pustular melanosis.
MedLine Citation:
PMID:  511427     Owner:  NLM     Status:  MEDLINE    
A Mexican-American boy presented at birth with an extensive eruption consisting of 0.5 to 1.0 cm hyperpigmented macules with a distinct peripheral scale involving primarily the forearms, abdomen and lower back (Fig. 1). Rare intact vesicopustules were also identified. There was an unremarkable prenatal history, and the infant was a product of a normal vaginal delivery. With the exception of the skin lesions and moderate hepatosplenomegaly, the physical examination was normal. Gram stains of the pustules showed numerous neutrophils but no bacteria. Bacterial cultures, of the skin and blood, TORCH screen (toxoplasmosis, rubella, cytomegalic virus, and herpes virus) and a VDRL were negative. On the second day of life, the patient developed several pustules with surrounding erythema consistent with erythema toxicum neonatorum. Wright-stained smears of these lesions showed abundant eosinophils. Hepatosplenomegaly resolved by the third day of life and at the time of discharge only hyperpigmented macules persisted. Follow-up visit six weeks later showed no evidence of skin lesions.
R J Barr; L M Globerman; F A Werber
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of dermatology     Volume:  18     ISSN:  0011-9059     ISO Abbreviation:  Int. J. Dermatol.     Publication Date:  1979 Oct 
Date Detail:
Created Date:  1980-02-15     Completed Date:  1980-02-15     Revised Date:  2006-10-30    
Medline Journal Info:
Nlm Unique ID:  0243704     Medline TA:  Int J Dermatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  636-8     Citation Subset:  IM    
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MeSH Terms
Erythema / complications*,  pathology
Hepatomegaly / complications
Infant, Newborn
Infant, Newborn, Diseases / pathology*
Melanosis / complications*,  pathology
Splenomegaly / complications
Suppuration / complications,  pathology

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