Pediatrics Clinical Diagnosis by S. Laude

By S. Laude

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Figure 1–15 Scrotal edema/hematoma with ecchymosis and hemorrhagic blister on the penis in a neonate after breech presentation in a difficult delivery. Spontaneous resolution of such edema usually occurs in about 48 hours, and discoloration resolves within 4 to 5 days. < Previous Next > About MD Consult Contact Us Terms and Conditions Privacy Policy Registered User Agreement Copyright © 2007 Elsevier Inc . All rights reserved. html[5/13/2009 8:20:58 PM] Book Text Use of this content is subject to the Terms and Conditions of the MD Consult web site.

2. Male-female ratio is 2:1. 3. Vaginal delivery is not necessarily a prerequisite for occurrence of this lesion, since it has been seen in infants born by cesarean section. 4. It occurs more commonly in infants born to primiparous mothers. LABORATORY 1. A linear skull fracture is present in about 5% of newborns with unilateral cephalhematoma and in about 18% of newborns with bilateral cephalhematomas. 2. Radiographic findings vary with the age of the cephalhematoma. a. By end of the 2nd week, it may begin to calcify under the elevated pericranium at the margins of the hematoma, eventually forming a complete shell of bone overlaid on the entire lesion.

ETIOLOGY/INHERITANCE 1. Unknown 2. Family history of natal teeth or premature eruption of teeth (15% to 20% of cases) 3. Natal teeth may be associated with a. Cleft lip and palate (secondary to disruption of the dental lamina, resulting in superficial placement of primary tooth buds) b. Syndromes: Pierre Robin, Ellis-van Creveld, or Hallermann-Streiff syndrome EPIDEMIOLOGY 1. Incidence: approximately 1 in 1400 to 1 in 2000 live births 2. Natal teeth are more frequently seen than neonatal teeth.

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