2171

Figure 2.170. The same infant as in Figure 2.168 and 2.169 at the age of 18 days showing generalized involvement of the skin. The skin lesions are characterized by erydiematous papules which develop into hemorrhagic bullae and then become violaceous plaques with central necrosis.

Figure 2.171. This small premature infant born at 23 weeks gestation (birth-weight of 580 g) had severe hyaline membrane disease and a large ductus arteriosus. She was referred at the age of 33 days, having developed a Staphylococcus epidermidis bacteremia, bilateral grade III intraventricular hemorrhages, and bronchopulmonary dysplasia. Shortly after admission, infection of the right forearm and hand developed which was progressive, becoming gangrenous. Rhizopus infection was shown to be the etiology. She died at the age of 83 days.

Figure 2.172. Another view of the arm and hand of die same infant as in Figure 2.171. Phycomycosis is very rare in neonates. The most common genera include Mucor, Absidia, and Rhizopus. Fungi of this class are frequently found in refrigerators and are commonly known as bread molds. Phycomycetes have the same affinity for vascular invasion, hemorrhage, necrosis, and suppuration as Aspergillus. There are few reports in die neonatal period, and the majority of these infants have died.

Index

Abdomen creased, 2

distended, 46, 111, 118

Abrasions, 16-17, 19

Abscess breast, 91 miliary, 102 scalp, 89, 107 xiphoid area, 92

Absidia, 145

Achromobacter, 103

Acne neonatorum, 14

Acrocyanosis, 7

Adams-Oliver syndrome, 32

Adenopathy. See Lymph nodes

Adnexal tissues, 68

Albinism, 53-54. See also Hypopigmentation

Amastia, 30

Aminoaciduria, 79

Amniotic bands, 31-32

Amniotic fluid, 6, 101

Anasarca, 44

Androgen, maternal, 12, 14

"Angel's kiss" (macular hemangioma), 36-37

Anhidrotic ectodermal dysplasia, 79-80

Apert's syndrome, 80

Aplasia cutis congenita, 30-32

Areola. See Nipples

Arthritis candidal, 142 gonococcal, 101 syphilitic, 116

Ascites, 111, 113

Ash leaf spots, 52

Aspergillosis, 142-44

Asphyxia, 36

Astigmatism, 40

Athelia, 30

Atrioventricular block, congenital, 81 Axillary freckling, 56

Bacterial infections, perinatal, 88-117

Bacteroides, 97

Balloon cells, 125

Basal cell carcinoma, 69

Beta hemolytic streptococcal sepsis, 99

Betadine, 1

"Bilirubin" rash, 7

Blaschko's lines, 62, 64-66

Blistering. See Skin lesions, bullous or vesicular; Epidermolysis bullosa; Sucking blisters; Vesiculobullous eruptions

Bloch-Sulzberger syndrome, 62-64

"Blueberry muffin" skin lesions, 118-19, 127-29, 136

Bones, "abnormal" development. See Growth arrest lines, Incontinentia pigmenti, Osteochondritis, Osteomyelitis, Osteoporosis, Periostitis, Rubella, Syphilis

Boric acid, 1

Brain atrophy, 41, 68 necrosis, 136-37

Breast abscessed, 91 absent, 30 engorgement, 27 supernumerary, 29 See also Nipples

Breech presentation, 19-20, 124 Bronchopulmonary dysplasia, 144 Buccal mucosa, pigmented, 56 Bullae. See Skin lesions, bullous Bullous bleb, 31

Bullous congenital ichthyosiform erythroderma, 62, 75-76, 108

Bullous impetigo, 62, 88, 108 Bullous mastocytosis, 62 Buphthalmos, 41, 130 Bursitis, 98

Calcification cerebral cortex, 41

intracranial, 122, 135-36 "railroad track," 41 subcutaneous fat necrosis, 19-21

Candidal infection, 11, 94, 138-42

Capillaries, dilated, 36

Capillary hemangioma, 38-40

Capsular distention, 93

Caput succedaneum, 124

Carcinoma, basal cell, 69

Cardiac defects, 52, 63, 127, 133

Cardiovascular collapse, 125

Cartilage-hair hypoplasia, 33

Cataracts, congenital, 63, 129, 133, 136

Caucasian infants, 7, 55

"Celery stalk" appearance of bones, 122, 131-32

Cellulitis, 91-92, 98-101, 103, 105

Central nervous system, 8, 60, 68, 78, 125-26

Cephalhematoma, infected, 93

Cerebral cortex, 41, 52

Cerebrospinal fluid, 136

Cheilitis, 111

Chicken pox. See Varicella

CHILD syndrome, 78

Chorioretinitis, 112, 118-19, 133, 136

Circumcision, 98

Clostridium tetani, 106

Clutton's joints, 116

Coagulopathy, 105, 125

Collagen, 80

"Collodion baby," 73

Colobomata, of eyelid, iris or choroid, 68

Comedones, 14

Condylomata, 112

Congenital alopecia, 33

Congenital atrioventricular block, 81

Congenital bullous ichthyosiform erythroderma, 62, 108

Congenital cataract, 129, 133, 136

Congenital cutaneous candidiasis, 139

Congenital cytomegaloviral infection, 118-22, 128,135

Congenital generalized fibromatosis, 84-85

Congenital generalized lymphangiectasia, 46-47

Congenital hemidysplasia with ichthyosiform erythroderma and limb defects (CHILD syndrome), 78

Congenital hyperthyroidism, 16

Congenital ichthyosis, 76-77

Congenital ichthyosiform erythroderma, 62, 73, 75, 108

Congenital leukemia, 128 Congenital listeriosis, 101-3 Congenital pneumonia, 102 Congenital rubella, 118, 122, 127-33 Congenital scalp defect, 30-32

Congenital self-healing reticulohistocytosis,

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