Prevalence and presentation of cutaneous lesions in healthy neonates: A single-center study from Eastern India

  • Mishra Shubhankar
  • Mishra Pravakar
  • Bhol Deepak Ranjan
  • Agarwalla Sunil K
  • Panigrahy Sambedana
  • Mishra Swayamsiddha


Background: Skin lesions are much common and specific to neonates. They vary according to age, sex, and geographic
region. Objectives: The objective of this study was to determine the prevalence of different cutaneous lesions in newborns and
their association with the type of delivery, age, sex, and maturity. Materials and Methods: This study was done in neonatal
follow-up clinic of department of Pediatrics, Maharaja Krushna Chandra Gajapati Medical College, Berhampur, Odisha. All
the healthy newborns coming to the OPD from January 2015 to December 2016 were included in this prospective study, and
their details were recorded in case recording format after taking informed consent from their guardians. Admitted patients were
excluded from the study. Statistical assessments were the done by SPSS software. Results: Out of 500 neonates, skin lesions
were found in 366 (73.2%) patients. Physiological cutaneous lesions were most common, consisting 259 (70.7%) neonates. Out
of the physiological lesions, benign transient lesions were seen in 163 (44.6%), out of which 95 (25.9%) had papulopustular
dermatoses followed by erythema toxicum in 48 (13.1%) cases. Birthmarks were seen in 138 (37.8%) cases; pigmentary
birthmarks 89 (24.5%) being the most common birthmarks followed by Mongolian spots in 71 (19.4%) cases. Pathological
lesions were seen in 107 (29.3%) cases, of which nappy rash was detected in 65 (18.01%) cases. Term and male babies had a
higher incidence of skin lesions. Conclusion: Benign lesions are the most common group of neonatal cutaneous manifestations
which is followed by birthmarks. Conditions such as nappy rash and contact dermatitis are common pathological lesions and
majority of them are preventable. Differentiation of the physiologic skin lesions from the pathologic ones is essential to avoid
unnecessary therapeutic interventions.

Keywords: Cutaneous lesions, Follow-up clinic, Neonates
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How to Cite
Shubhankar, M., Pravakar, M., Ranjan, B., K, A., Sambedana, P., & Swayamsiddha, M. (2017). Prevalence and presentation of cutaneous lesions in healthy neonates: A single-center study from Eastern India. Indian Journal of Child Health, 4(4), 566-570. Retrieved from
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