PAEDIATRICS - Skin

Baby's skin characteristics:

1)COLOUR:

a)STORK'S BEAK MARK

Def : pink discolouration of skin
Site : neck , eyelids, glabella
Not significant

b)PALLOR

Causes : Anemia
              Pheripheral constriction

Pallor

c) CYANOSIS

(i) CENTRAL - Sites: Lips

                                   Tongue

                                    Mucus Membrane of Mouth

                              

                           Indicates: Hypoxia

   (ii) PHERIPHERAL  - aka ACROCYANOSIS

                                      Blue pheripheries but pink centrally

                                      Indicates: Normal, it is common in early minute and hours of life.

 
















d) PLETHORA
Colour : red
Causes : (i) vasodilatation
             (ii) Polycythemia
             (iii) Vascular overload


e) JAUNDICE
Def : Yellowish discolouration of skin and sclera
Types: (i) PHYSIOLOGICAL
                -usually appear on 2nd day of life
                - upto 2 weeks

           (ii) PATHOLOGICAL
                 - appear at 1st day of life
                 - more than 2 weeks
                 - requires investigations

Jaundice

f) MONGOLIAN BLUE SPOT

Definition: large with bluish tinge
                usually fades in first year of life
Site : Buttocks
         Backs
         Thights

Mongolian Blue Spot

g) MILIA
Definition : occur due to sebaceous gland hyperplasia

Milia

           

h) ACNE NEONATORUM

ACNE NEONATORUM