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Dermatopathology (Basel). 2021 Aug 17;8(3):390-417. doi: 10.3390/dermatopathology8030043.

What to Look Out for in a Newborn with Multiple Papulonodular Skin Lesions at Birth.

Dermatopathology (Basel, Switzerland)

Sylvie Fraitag, Olivia Boccara

Affiliations

  1. Department of Pathology, Necker-Enfants Malades Hospital, APHP, 75015 Paris, France.
  2. Department of Dermatology, Necker-Enfants Malades Hospital, APHP, 75015 Paris, France.

PMID: 34449594 PMCID: PMC8395860 DOI: 10.3390/dermatopathology8030043

Abstract

Multiple papulonodular skin lesions at birth can indicate the presence of various benign and malignant disorders. Although the lesions' clinical aspect (color and consistency, in particular) may steer the clinician towards one disorder or another (infantile myofibromatosis, xanthogranuloma, or metastatic neuroblastoma), the diagnosis can only be confirmed by the histopathologic assessment of a biopsy. In neonates, a rapid but accurate diagnosis is critical because skin lesions may be the first manifestation of a malignant disorder like leukemia cutis or metastatic neuroblastoma. Here, we review the various disorders that may manifest themselves as multiple skin lesions at birth.

Keywords: Langerhans cell histiocytosis; blue rubber bleb nevus syndrome; blueberry muffin rash; dermal erythropoiesis; glomuveinous malformation; infantile myofibromatosis; leukemia cutis; lymphangioendotheliomatosis with thrombocytopenia; mastocytosis; metastatic neuroblastoma; metastatic rhabdoid tumor; metastatic rhabdomyosarcoma; multiple juvenile xanthogranuloma; multiple neonatal hemangiomatosis; newborn; subcutaneous fat necrosis of the newborn

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