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Prevalence and characterization of neonatal skin disorders in the first 72 h of life a?? , a??a??

机译:生命的头72小时内新生儿皮肤疾病的患病率和特征,一个?

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Objective: To determine the prevalence of neonatal dermatological findings and analyze whether there is an association between these findings and neonatal and pregnancy characteristics and seasonality. Methods: Newborns from three maternity hospitals in a Brazilian capital city were randomly selected to undergo dermatological assessment by dermatologists. Results: 2938 neonates aged up to three days of life were randomly selected, of whom 309 were excluded due to Intensive Care Unit admission. Of the 2530 assessed neonates, 49.6% were Caucasians, 50.5% were males, 57.6% were born by vaginal delivery, and 92.5% of the mothers received prenatal care. Some dermatological finding was observed in 95.8% of neonates; of these, 88.6% had transient neonatal skin conditions, 42.6% had congenital birthmarks, 26.8% had some benign neonatal pustulosis, 2% had lesions secondary to trauma (including scratches), 0.5% had skin malformations, and 0.1% had an infectious disease. The most prevalent dermatological findings were: lanugo, which was observed in 38.9% of the newborns, sebaceous hyperplasia (35%), dermal melanocytosis (24.61%), skin desquamation (23.3%), erythema toxicum neonatorum (23%), salmon patch (20.4%), skin erythema (19%), genital hyperpigmentation (18.4%), eyelid edema (17.4%), milia (17.3%), genital hypertrophy (12%), and skin xerosis (10.9%). Conclusions: Dermatological findings are frequent during the first days of life and some of them characterize the newborn's skin. Mixed-race newborns and those whose mothers had some gestational risk factor had more dermatological findings. The gestational age, newborn's ethnicity, gender, Apgar at the first and fifth minutes of life, type of delivery, and seasonality influenced the presence of specific neonatal dermatological findings.
机译:目的:确定新生儿皮肤病学发现的患病率,并分析这些发现与新生儿和妊娠特征以及季节性之间是否存在关联。方法:从巴西首都的三所妇产医院中随机抽取新生儿,由皮肤科医生进行皮肤病学评估。结果:随机选择了2938例不超过三天的新生儿,其中309例因重症监护病房入院而被排除在外。在2530名接受评估的新生儿中,白种人占49.6%,男性占50.5%,经阴道分娩出生的占57.6%,接受过产前检查的母亲占92.5%。 95.8%的新生儿观察到一些皮肤病学发现。其中88.6%的人患有短暂的新生儿皮肤病,42.6%的人患有先天性胎记,26.8%的人患有良性新生儿脓疱病,2%的人患有继发性损伤(包括刮擦),0.5%的人患有皮肤畸形,0.1%的人患有传染病。最流行的皮肤病学发现是:胎毛虫,在38.9%的新生儿中观察到,皮脂腺增生(35%),皮肤黑素细胞增多症(24.61%),皮肤脱屑(23.3%),中毒红斑新生儿(23%),鲑鱼斑片(20.4%),皮肤红斑(19%),生殖器色素沉着(18.4%),眼睑浮肿(17.4%),m(17.3%),生殖器肥大(12%)和皮肤干燥症(10.9%)。结论:皮肤病学发现在生命的第一天是很常见的,其中一些是新生儿皮肤的特征。混合种族新生儿和母亲的妊娠危险因素较多的皮肤病学发现。胎龄,新生儿的种族,性别,出生后第一和第五分钟的Apgar,分娩类型和季节性都会影响特定新生儿皮肤病学发现的存在。

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