Common Newborn Findings
Tiny white/ yellow papules on the face. Usually 1 to 3 mm. Resolves within a few weeks to months
What are milia?
Fluid-filled vesicle GREATER than 0.5 cm
What is Bulla?
bleeding under the skin or mucous membranes that resemble pinpoint dots. May require further evaluation, such as a CBC
What are Petechiae?
A sac-like pocket that is filled with pus or fluid. No treatment required
What is a cyst?
abnormal change to the skin that differs from the surrounding tissue
What is a Lesion?
Clusters of enlarged blood vessels that result in areas of pink, red, or purplish skin. Commonly found on the forehead, eyelids, or the back of the neck and head
What is a salmon patch?
Fluid-filled vesicle LESS than 0.5 cm
What is a Vesicle (blister)?
Hemorrhage into tissue thatis greater than 1 cm
What is Ecchymosis?
yellow, scaly, flaky skin that can be associated with cradle cap, impetigo, or normal peeling
What is crust?
small, raised, solid pimple or swelling. Does not contain pus. Less than 1 cm in size
What is a papule?
Skin condition that can be misconceived as child abuse if not properly documented at birth or well visits.
What are Mongolian spots?
Pus-filled, SMALL lesion. Usually <0.5cm
What is a pustule?
Small blood vessels leak blood under the skin, resulting in purple-colored spots and patches that can appear on the skin and even mucous membranes
What is purpura?
shedding of thin plates from skin surface
Solid, raised, plateau-like lesion that is larger than 1 centimeter. Can be associated with psoriasis
What is plaque?
Help bind vernix caseosa to the skin of fetuses. Common in preterm infants, but can have underlying pathology in term infants
What is Lanugo?
deep, solid lesion that is typically larger than 1 cm in diameter
What is a nodule?
Smooth, flat, pink or red patch present at birth that may get larger, darker, and thicker with time. Associated with blood vessel syndromes. Common in people with Klippel-Trenaunay
What is a Port Wine Stain?
Marbled skin appearance in response to cold. Benign
What is Cutis Marmorata?
a flat, circumscribed area of skin that differs in color or texture from the surrounding skin. LARGER than 1 cm
What is a patch?
Erythematous/hyperpigmented macules that remain even after small pustules have ruptured. Benign.
What is Transient Neonatal Pustular Melanosis?
Transient raised lesion with central pallor
What is a Wheal?
Congenital macules, caused by an increased amount of melanin in both melanocytes and epidermal cells. Benign, but Multiple spots may be associated with genetic syndromes
What are Café Au Lait Spots?
Formation of small bumps on the skin or enlargement of hair follicles due to the enlargement of sebaceous glands. Result of maternal androgen exposure in utero.
What is Sebaceous Hyperplasia?
flat, distinct, discolored area of skin that is LESS than 1 cm
What is a macule?