Cutaneous Lesions in Iranian Neonates and Their Relationships with Maternal-Neonatal Factors: A Prospective Cross-Sectional Study

Cutaneous lesions are common in the neonatal period and mostly physiological, transient, and self-limited; uncommonly, they are pathological and require treatment and cooperation between neonatologists and dermatologists. Particular conditions, like prematurity, can influence the onset, type, and evolution of cutaneous manifestations. Of the several articles in the literature about skin findings in newborns, only a few were performed in Iran. We aimed to investigate dermatological findings in a sample of neonates within the first three days of life and to evaluate the association between skin lesions and neonatal- or maternal-related variables. A total of 1202 newborns, hospitalized in the Department of Pediatrics of Imam Sajjad Hospital of Ramsar and Shahid Rajaee Hospital of Tonekabon, Iran, for two years, were examined. All skin findings were recorded, and information on neonatal and maternal variables was collected and analyzed to detect statistically significant associations. Skin lesions were present in 958 newborns (79.8%). The prevalence of milia, erythema toxicum, salmon patch, and Mongolian spots were 45.2%, 43%, 37.3%, and 37%, respectively. Natural vaginal delivery, use of medication, term gestation, and maternal disease were associated with a higher incidence of cutaneous lesions in neonates. Milia, erythema toxicum, Mongolian spots, and genital hyperpigmentation were seen more frequently in the male gender. Conversely, skin desquamation was seen more frequently in females. Among maternal diseases, gestational diabetes mellitus, urinary tract infection, preeclampsia, hypertension, psychiatric disorders, and uterine infection were associated with a higher prevalence of cutaneous lesions. Neonatal cutaneous lesions are a common source of concern in parents and inexperienced physicians. Therefore, prompt recognition of neonatal cutaneous lesions is essential in order to avoid unnecessary diagnostic and therapeutic procedures.

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Dermoscopy and Trichoscopy in Dermatomyositis—A Cross-Sectional Study

Journal of Clinical Medicine ◽

10.3390/jcm11020375 ◽

2022 ◽

Vol 11 (2) ◽

pp. 375

Author(s):

Magdalena Żychowska ◽

Adam Reich

Keyword(s):

Diagnostic Technique ◽

Skin Lesions ◽

Cross Sectional Study ◽

Cutaneous Lesions ◽

Cross Sectional ◽

Cutaneous Manifestations ◽

Non Invasive ◽

Inflammatory Dermatoses ◽

Curved Vessels ◽

Established Role

Background: (Video)dermoscopy is a non-invasive diagnostic technique that has a well-established role in dermatooncology. In recent years, this method has also been increasingly used in the assessment of inflammatory dermatoses. So far, little is known about the (video)dermoscopic features of dermatomyositis (DM). Methods: Consecutive patients with DM were included in the study and videodermoscopic assessments of the nailfolds, scalp, and active skin lesions were performed. Results: Fifteen patients with DM (10 women and 5 men) were included. Capillaroscopy showed elongated capillaries (90.9%), avascular areas (81.8%), disorganized vessel architecture (81.8%), tortuous capillaries (72.7%), dilated capillaries (72.7%), and hemorrhages (72.7%). The trichoscopic findings included linear branched vessels (80.0%), linear vessels (60.0%), linear curved vessels (53.3%), perifollicular pigmentation (40.0%), perifollicular erythema (33.3%), scaling (20.0%), white (20.0%) or yellow (20%) interfollicular scales, and white (20.0%) or pinkish (13.3%) structureless areas. Polymorphic vessels of an unspecific distribution and white or pink structureless areas were frequently observed under dermoscopy in cutaneous manifestations of DM, including Gottron’s papules and Gottron’s sign. Conclusions: Dermoscopy of the nailfolds (capillaroscopy), scalp (tricoscopy), and active cutaneous lesions may be of value in the preliminary diagnosis of DM.

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An Observational Cross-Sectional Study of the Proportion of Cutaneous Lesions Affecting External Ear, Presenting to Outpatient Clinic of a Tertiary Care Medical College in the Eastern Part of India

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/269 ◽

2021 ◽

Vol 8 (19) ◽

pp. 1414-1419

Author(s):

Kanishka Chowdhury ◽

Sabyasachi Banerjee

Keyword(s):

Seborrheic Dermatitis ◽

Tertiary Care ◽

Skin Lesions ◽

Cross Sectional Study ◽

Outpatient Department ◽

Basic Knowledge ◽

External Ear ◽

Cutaneous Lesions ◽

Cross Sectional ◽

Medical College

BACKGROUND Cutaneous lesions of external ear are quite common in clinical practice. Patients often present with various cutaneous lesions of the external ear to various disciplines. They are often underdiagnosed as many lesions, though commonly diagnosed by our dermatologist colleague are missed by other clinicians. These lesions can be classified in various ways, according to the aetiology, and according to the anatomic sites. In the present study, we tried to assess the prevalence of different skin lesions affecting external ear presenting to an ENT and skin outpatient department of a tertiary care medical college in Eastern part of India. METHODS This is a descriptive observational study, cross sectional in design. 240 patients attended the outpatient department with cutaneous lesions affecting external ear from January 2019 to February 2020. The patients presenting in both ENT and skin outpatient department were chosen randomly. Cases were diagnosed based on history and clinical examination and appropriate investigation as required. All cases were categorised into 5 types (infective, inflammatory, autoimmune, neoplasm & naevi, and reactive & reparative) according to the aetiology. In each category, prevalence of various skin lesions was recorded. RESULTS A total number of 240 cases were detected during the study period. Among them, infective 43.33 %, inflammatory 30.83 %, autoimmune 9.17 %, neoplasm & naevi 4.17 % and reactive & reparative were 12.82 %. Taenia was the most common lesions encountered (20.51 %) followed by keloid (12.5 %). Impetigo and seborrheic dermatitis shared same number of cases (9.4 %). Neoplastic lesions were the least common. CONCLUSIONS With some awareness and basic knowledge, many of the cutaneous lesions of external ear can be diagnosed and treated whenever patients report to a clinician, thus saving valuable time, effort and money of the patient. KEYWORDS Cutaneous Lesions, Skin Lesions, External Ear

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Investigation of serum substance P status in patients with chronic pruritic skin lesions due to sulfur mustard: a cross-sectional study

Cutaneous and Ocular Toxicology ◽

10.3109/15569527.2012.686077 ◽

2012 ◽

Vol 32 (1) ◽

pp. 4-8 ◽

Cited By ~ 4

Author(s):

Yunes Panahi ◽

Elham Sadat Taherzadeh ◽

Seyed Masoud Davoudi ◽

Amirhossein Sahebkar ◽

Reza Ranjbar

Keyword(s):

Substance P ◽

Sulfur Mustard ◽

Skin Lesions ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Pruritic Skin

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Reporte estadístico de pacientes pediátricos atendidos en la clínica de la Universidad Tecnológica del Suroeste de Guanajuato

Revista de Ciencias de la Salud ◽

10.35429/johs.2019.20.6.1.7 ◽

2019 ◽

pp. 1-7

Author(s):

Alejandra ALVAREZ-AVILA ◽

Karen SASIA-ZAYAS

Keyword(s):

Pediatric Patients ◽

Neonatal Period ◽

Clinical History ◽

Cross Sectional Study ◽

Psychomotor Development ◽

Sectional Study ◽

Development Environment ◽

Cross Sectional ◽

Adequate Evaluation ◽

Development Evaluation

The psychomotor development is a process through which, children acquire abilities in different areas that allow them to have progressive independence and adaptation within their development environment. An adequate evaluation of the psychomotor development since neonatal period is fundamental to obtain an appropriate derivation of suspected illness cases and detection of anomalous signs that trigger a significant chronological delay in children. Objective. To know statistic numbers making evident the psychomotor develop areas majorly affected within pediatric patients. Methodology. Observational, descriptive, cross-sectional study. 51 patients were studied, in the 5 behaviors, evaluated with clinical history and Gesell. The study was realized to the January 2018 a January 2019. Contribution. Create conscience about the importance of psychomotor development evaluation in neonatal children and pediatric whether they show or not, any alteration in the different development areas.

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The Frequency of Cutaneous Manifestations in Hepatitis C: A Cross-sectional Study in a Tertiary Care Hospital in Pakistan

Cureus ◽

10.7759/cureus.6109 ◽

2019 ◽

Cited By ~ 1

Author(s):

Saleh Mohammad ◽

Bashir Chandio ◽

Aftab A Soomro ◽

Salma Lakho ◽

Zamanat Ali ◽

...

Keyword(s):

Hepatitis C ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Cutaneous Manifestations

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An Observational Cross-sectional Study on Dermatological Co-morbidities in Patients with Hemiplegia Secondary to Cerebral Stroke in a Tertiary Care Teaching Hospital in Eastern India

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/49257.15438 ◽

2021 ◽

Author(s):

Subhransu Sekhar Jena ◽

Binayak Chandra Dwari ◽

Roopam Panda ◽

Nibedita Patro

Keyword(s):

Tertiary Care ◽

Skin Lesions ◽

Cross Sectional Study ◽

Cerebral Stroke ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Study Population ◽

Skin Conditions ◽

Neurological Insult

Introduction: Hemiplegia due to cerebral stroke is associated with various dermatological co-morbidities, arising out of motor, sensory and autonomic dysfunctions. Aim: To find out the different dermatological conditions prevalent in patients of hemiplegia secondary to cerebral stroke. Materials and Methods: An observational cross-sectional study was conducted in the Department of Neurology in collaboration with the Department of Dermatology at Hi-Tech Medical College and Hospital, Bhubaneswar, Odisha from July 2017 to June 2020. Patients with hemiplegia of more than one month duration were included. The skin findings present before the neurological insult and patients with systemic conditions like atopic dermatitis, diabetes mellitus and thyroid disorders causing skin changes were excluded. Relevant tests for diagnostic confirmation of the skin lesions were done wherever needed. The software Statistical Package for the Social Sciences (SPSS) version 16.0 was used for the statistical analysis. Results: Study included 411 patients of cerebral stroke. A total of 382 (92.9%) patients were found to have dermatological manifestation. The male:female ratio in the study population was 2.6:1. A total of 549 and 128 skin conditions were diagnosed in the paralysed and non paralysed limbs, respectively. The common dermatological conditions diagnosed in the affected limbs were, xerosis {371 (97.12%)}, tinea corporis/cruris {61 (15.97%)}, onychomycosis {31 (8.12%)}, tinea pedis {28 (7.33%)} and nail dystrophy abnormalities {27 (7.07%)} patients. Conclusion: Knowledge of various dermatological conditions associated with hemiplegia helps in early intervention and better management during rehabilitation phase of patients with hemiplegia.

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A clinical study of various cutaneous manifestations in neonates

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20185513 ◽

2019 ◽

Vol 5 (1) ◽

pp. 8

Author(s):

Shams Zia Usmani ◽

Kshitij Saxena ◽

Venkatarao Koti ◽

Shrish Bhatnagar ◽

Gaurav Paliwal ◽

...

Keyword(s):

Neonatal Period ◽

Cutaneous Lesion ◽

Skin Lesions ◽

Good Prognosis ◽

Cutaneous Lesions ◽

Cutaneous Manifestations ◽

Medical College ◽

Variable Nature ◽

Detailed Assessment ◽

Neonatal Skin

Background: Cutaneous manifestations are common in neonates. Transient and pathological neonatal dermatoses should be differentiated to avoid unnecessary treatment and thus considering the variable nature and severity of neonatal skin lesions, it is important to be aware of the transient skin lesions in newborn and to differentiate these from other serious conditions which will avoid unnecessary therapy to the neonates and the parents can be assured of good prognosis of these skin manifestations. The present study has been carried out to study the clinical pattern of cutaneous lesion in neonatal period.Methods: A total of 255 neonates from Department of Dermatology in collaboration of Department of Pediatrics, Era’s Lucknow Medical College and Hospital were evaluated for cutaneous manifestations. A detailed assessment regarding history, clinical examination and investigations were recorded and analyzed.Results: Out of 255 neonates, 138 (54.1%) were males and 117 (45.9%) were females. The sex ratio (M:F) was 1.18. The most common dermatoses were physiological desquamation (54.1%) and mongolian spots (37.6%) followed by milia (19.6%), miliaria (14%), epstein pearls (10.2%).Conclusions: The physiological and transient cutaneous lesions are common are in neonates. Physiological cutaneous manifestations were quite frequent apart from birthmarks/congenital cutaneous manifestations. An understanding of these manifestations helps in managing and deciding the appropriate manifestation.

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