By Arnold J. Rudolph M.D., Arnold J. Rudolph MD
This is often a part of a mind-blowing 5-volume set representing the lifestyles paintings of the main meticulous photographic archivist in neonatology. Over the process forty years, Dr. Rudolph accrued images of just about each ailment, affliction, and situation affecting the infant. jointly they act as a uniquely strong diagnostic device.
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Additional info for Atlas of the newborn. / Vol. 4, Dermatology and perinatal infection
Note the rapid growth over a 2 week period. Hemangiomas are rarely seen in premature babies with a gestational age of less than 34 weeks. As the infant becomes older, hemangiomas may develop. 115. 114, now at the age of 3 months, developed a cystic swelling over the scalp in the first few weeks of life. The cystic swelling increased gradually in size; note the bluish hue. On removal this was confirmed to be a strawberry hemangioma. Note that strawberry hemangiomas may have a large component visible on the surface of the skin, or may be covered by the skin, thus obscuring their characteristic appearance.
If midline, they should be distinguished from a pilonidal sinus. 63. Dimples in between the joints over the long bones are considered pathologic until proven otherwise. In this infant with congenital hypophosphatasia, the skin dimple over the middle of the tibia is a very typical finding. Abnormal (aberrant) skin dimples may occur at a location where there has been a closer than usual proximity between the skin and the underlying bone structure during fetal life, resulting in deficient development of subcutaneous tissue at that locus.
122. Phacomatosis pigmentovascularis is a rare condition in which there is a port wine appearance (as in Sturge-Weber syndrome) in addition to patches of slategray hyperpigmentation which clinically resemble mongolian spots. The infant also had a glaucoma of the left eye. This condition has been associated with glaucoma, seizures, and skeletal abnormalities. 123. A large cavernous hemangioma was present on the scalp of this infant at birth. These are raised lesions and often do not appear until the infant is a few weeks of age.