Newborn skin loss

Release time : 06/11/2025 09:30:01

Neonatal skin loss is an extremely rare genetic case. It is caused by gene loss and has a high mortality rate.

Moms, don't be afraid. Although it has a high mortality rate, it is extremely rare. There are only 400 cases worldwide and only 17 in our country.

What is neonatal skin loss? Neonatal skin loss, etiology: The majority of congenital skin defects are inherited diseases.

It is a hereditary skin disease caused by the deletion of genes, and it can be inherited in an autosomal dominant or recessive manner.

It may also be associated with primary differentiation defects and adjacent amniotic membrane developmental defects.

This condition is similar to ichthyosis, and the prognosis in cases of congenital skin deficiency is extremely poor with a very high mortality rate.

Symptoms of neonatal skin loss: As the name suggests, neonatal skin loss refers to the absence of certain parts of the body's skin. The body tissue is directly exposed.

The infant was born with a clearly defined skin defect, the base being rough and red in appearance, presenting as a large, thick-walled vesicle with a rapidly advancing top, scalp loss of approximately 60%, generally 2cm in size, which can increase to 9cm or be elongated, triangular, or star-shaped.

The healing of the defective wound is slow, with recurrent crusting and sloughing that lasts for months or even years.

It may also be accompanied by other developmental abnormalities, such as congenital amputation. In most cases, the patient is also associated with ichthyosis vulgaris.

A manifestation of skin loss in newborns, babies will more or less suffer from skin loss. So, what are the manifestations of skin loss in newborns? The following website Encyclopedia will reveal this one by one, so that new mothers can understand more knowledge and better care for their babies.

1. Physiological peeling occurs when newborns are born about two weeks ago.

The baby's tender skin began to burst overnight, and then began to peel. The beautiful baby seemed to have been coated with a layer of paste and cracked.

This is the metabolism of newborn skin. Old epithelial cells fall off and new epithelial cells are formed.

The fetal fat attached to the skin of newborns at birth falls off with the exfoliation of epithelial cells, which forms physiological peeling of newborns, which is a normal phenomenon and does not require treatment.

Newborn babies often show dry and rough skin on their ankles, soles and wrists because the stratum corneum on the outermost surface of their skin is too thin and the connection between the kimpi and the dermis is not tight.

If you want to touch the surface of your skin, you should use safe and gentle moisturizers under the guidance of your doctor.

2. Skin discoloration. Newborn babies can really be called a "chameleon": newborns change their body position, and their skin color changes with distinct boundaries. This is what is medically called skin discoloration.

When some babies are born, you will find that the upper part of their body is pale and the lower part is red.

This is because the baby's blood circulation is not fully developed, resulting in blood collecting in the lower limbs.

This phenomenon of different colors of the upper and lower bodies can be easily corrected by moving the baby's position.

When the newborn is lying on the left side, the upper skin on the right side will appear pale with little blood, and the lower skin on the left side will appear bright red with blood, or may be purple-red.

When the body position is oppositely transformed, the skin color will also change.

3. Local cyanosis. Cyanosis in newborns is mostly pathological and does not belong to a normal physiological phenomenon.

But temporary cyanosis is not a disease. Newbie parents don't have to worry about it. The cyanosis will naturally subside.

Cyanosis that occurs in the lips, hands and feet and under the nail bed is mostly caused by exposure of hands and feet to cold, pressure, and excessive blood; brief breathing pauses caused by severe crying, breath-holding attacks, esophageal reflux, etc. can cause Cyanosis throughout the body. It is related to external force injury to the newborn during the labor process, such as the labor process is too long, the fetus is compressed for a long time, and the pioneer head, pioneer hip, and pioneer foot appear. This is characterized by signs of compression at the vanguard, accompanied by local cyanosis and edema., may also be accompanied by bleeding spots.

4. Skin erythema. Skin erythema may appear in the first few days of life.

The erythema varies in shape, size, and is bright red in color. It is distributed throughout the body, mainly on the head, face and trunk.

Newborns may experience discomfort, which usually resolves within a few days and rarely exceeds a week.

When some newborns develop erythema, they are accompanied by peeling.

The cause of neonatal erythema is currently unclear in medical science.

Some scholars believe that neonatal erythema is caused by environmental influences such as light, air, and temperature and mechanical stimulation after a newborn is born. For example, after a newborn takes a bath, the erythema can be aggravated.

No matter what academic debate there is, one thing is clear: neonatal erythema does not pose any threat to health and does not need to be treated and resolves on its own.

5. Fetal moles. After a newborn is born, some spots or papules with a different color from the skin itself may appear on the skin or mucous membrane. They are called "neonatal birthmark", also called "birthmark", medically called "pigmented mole".

Most birthmarks occur on the baby's waist, buttocks, chest and back and limbs, and are usually blue or bluish-gray patches.

Most birthmarks don't matter, and many of them will fade on their own within a few years of the baby's life and do not require treatment.

Neonatal skin loss, how to treat it? Western medicine often uses trauma surgery to treat congenital skin defects, that is, debridement and skin grafting.

This would not only deepen the wound and enlarge the area, but also bring pain to the child.

The treatment method is as follows: 1. Cleaning and debridement.

Because the admission time varies sooner or later, the wound conditions of each case are different at the time of admission. Among the 8 cases in this group, 5 cases have infected wounds.

General wounds are rinsed with 1:1000 bromogeramine solution and physiological saline.

After debridement and rinsing, apply antibiotic gauze to wet apply for 10 minutes.

2. Exposure therapy.

Since 8 cases in this group were all newborns, they were all placed in an electric moisturizing box and used exposure therapy.

Use a disinfectant tongue depressor to gently apply moist burn cream evenly on the wound surface, with a thickness of about 1mm and beyond the wound margin. Apply and scrape once every 3-5 hours in the early stage. The number of smears in the later stage can be based on the amount of exudate on the wound surface. Depending on the amount, if there is too much exudate, the number of smears will increase relatively until healing.

3. Use of antibiotics.

Neonates have low immunity, reduced phagocytic capacity of white blood cells, and increased chances of infection.

We routinely administered penicillin at 2.4 million u/d to 8 newborns with congenital skin defects. One week after administration, the drug could be stopped when the condition stabilized.

4. Supportive therapy.

Newborns have a strong metabolism and have a higher demand for protein, and hypoproteinemia will affect the healing of wounds.

Therefore, whether it is to promote wound healing or treat neonatal jaundice, it is necessary to infusion 20% albumin 25ml to children every other day.

What kind of skin is the healthiest for newborns? The skin of healthy full-term newborns is ruddy and smooth. Some skin has a little fetal fat on the surface, a little fetal hair on the shoulders and back, and plump fat under the skin.

Even some babies 'skin in the first few days of life seems to be very rough and dry, with even peeling, and chaps in wrinkled areas.

This is because the baby's skin has been soaked in amniotic fluid for a long time and is dry after birth. Before it falls off, it looks very rough and dry.

But it will be smooth in a few days.

The skin of premature babies looks very thin and tender when they are born, like coagulated fat, transparent, and red.

If the skin shines, edema may appear.

There is much fetal fat on the surface of the skin and much fetal hair.

Subcutaneous fat is thin and may contain abundant chylomicrons, similar to the cream on cakes we often eat.

Clotted sebum appears sticky, formed by the secretion of sebum and shed epidermal cells by the skin glands, serving protective, anti-infection, and insulation functions. It is gradually absorbed by the skin after birth.

Generally, it is not necessary to wash off or rub off the fat on the skin deliberately, as doing so might weaken the protective and warming function of the fat on the skin. It is also easy to damage the skin and even induce infection.

But if there is thicker fat in the ear and armpit area or other folds of skin, it can be removed by gently rubbing with cooked and cooled sesame oil, soy oil and similar vegetable oils or baby's skin cleansing cream at 6 hours after birth.

What are the skin care methods for newborns? At birth, a baby's skin is like other organs and tissues, not yet fully developed, lacking many of the functions of adult skin.

Therefore, mothers must take care of them carefully when taking care of them, so as not to cause trouble if they are careless.

So, what are the skin care methods for newborns? Let's take a look at the details below.

1. Facial care symptoms: The baby often drools and spits milk.

Nursing: A soft and moist towel should be prepared to wipe the baby's cheeks clean. In autumn and winter, moisturizer should be applied in time to prevent chapped skin.

2. Eye care symptoms: The corners of the eyes are red, and there is a lot of droop secretions after waking up.

Nursing: Wash the baby's eyes with wet cotton wool once a day.

3. Nasal care symptoms: Nasal secretions plug the nostrils and affect breathing.

Nursing: Gently roll out secretions with a wet cotton swab.

4. Umbilical Care Symptoms: Upon discharge, the umbilical cord has been removed. Sometimes the umbilical hole is slightly wet or there is a small amount of bleeding.

Nursing: Whether the umbilical cord has fallen off, clean the umbilical region after bathing every day. Use a sterile cotton swab dipped in 75% medical alcohol to gently rub from the center outward along the umbilical cord in a clockwise direction three times. Change the cotton swab three times, remove any dirt and scabs, and keep the umbilical area dry and clean.

When there is redness or swelling around the umbilical area, or if there is purulent secretion, one should immediately seek medical attention.

5. Hip Care Symptoms: The hips of babies are extremely delicate, and it is essential to change diapers promptly.

Nursing: Frequent changing of diapers, pay attention to clean the residual urine and feces on the buttocks when changing diapers, then apply infant diaper cream.

6. Symptoms of the Body and Limbs: The baby frequently sweats.

Nursing: Always keep a soft towel ready for him to dry off, to prevent catching a cold. Change his cotton diapers often and bathe him daily.

*The medical content involved in this text is for reference only.

In the event of discomfort, it is recommended to seek medical attention immediately. The diagnosis and treatment should be based on a consultation at a physical examination clinic.