526949
research-article2014
VMJ0010.1177/1358863X14526949Vascular MedicineEllis LE and Beckman JA
Images in Vascular Medicine Baby blue
Vascular Medicine 2014, Vol. 19(3) 215 © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1358863X14526949 vmj.sagepub.com
Lauren E Ellis1 and Joshua A Beckman2 After uneventful delivery with Apgar scores of 9 and 9, this newborn girl was noted to have bilateral lower extremity acrocyanosis, as shown in comparison to the mother’s hand (Panel A). In newborns, peripheral cyanosis is common. In a recent series of newborn dermatoses, acrocyanosis was noted in approximately 12% of infants, with no variation based on skin color.1,2 Newborn acrocyanosis has been attributed to an immaturity of the circulation, the transitioning from fetal to independent circulation, inadequate respiration, and a response to cold. In the absence of central cyanosis (that involving the torso, mouth, or head) or evidence of systemic illness with anemia, polycythemia, jaundice, or respiratory distress, it is a benign finding2 and resolves within days. On the second day of life, the cyanosis resolved (Panel B).
Panel A
Declaration of conflicting interest The authors declare that there is no conflict of interest.
Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
References 1. Zagne V, Fernandes NC. Dermatoses in the first 72 h of life: A clinical and statistical survey. Indian J Dermatol Venereol Leprol 2011; 77: 470–476. 2. Wallach D. Diagnosis of common, benign neonatal dermatoses. Clin Dermatol 2003; 21: 264–268.
Panel B
1Institute
for Heart, Vascular, and Stroke Care, Massachusetts General Hospital, Boston, MA, USA 2Cardiovascular Division, Brigham and Women’s Hospital, Boston, MA, USA Corresponding author: Joshua A Beckman Brigham and Women’s Hospital 75 Francis Street Boston, MA 02115 USA Email: [email protected]
‘Images in vascular medicine’ is a regular feature of Vascular Medicine. Readers may submit original, unpublished images related to clinical vascular medicine. Submissions may be sent to: Heather L Gornik, Editor in Chief, Vascular Medicine, via the web-based submission system at http://mc.manuscriptcentral.com/vascular-medicine Downloaded from vmj.sagepub.com at FLORIDA INTL UNIV on June 7, 2015
research-article2014
VMJ0010.1177/1358863X14526949Vascular MedicineEllis LE and Beckman JA
Images in Vascular Medicine Baby blue
Vascular Medicine 2014, Vol. 19(3) 215 © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1358863X14526949 vmj.sagepub.com
Lauren E Ellis1 and Joshua A Beckman2 After uneventful delivery with Apgar scores of 9 and 9, this newborn girl was noted to have bilateral lower extremity acrocyanosis, as shown in comparison to the mother’s hand (Panel A). In newborns, peripheral cyanosis is common. In a recent series of newborn dermatoses, acrocyanosis was noted in approximately 12% of infants, with no variation based on skin color.1,2 Newborn acrocyanosis has been attributed to an immaturity of the circulation, the transitioning from fetal to independent circulation, inadequate respiration, and a response to cold. In the absence of central cyanosis (that involving the torso, mouth, or head) or evidence of systemic illness with anemia, polycythemia, jaundice, or respiratory distress, it is a benign finding2 and resolves within days. On the second day of life, the cyanosis resolved (Panel B).
Panel A
Declaration of conflicting interest The authors declare that there is no conflict of interest.
Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
References 1. Zagne V, Fernandes NC. Dermatoses in the first 72 h of life: A clinical and statistical survey. Indian J Dermatol Venereol Leprol 2011; 77: 470–476. 2. Wallach D. Diagnosis of common, benign neonatal dermatoses. Clin Dermatol 2003; 21: 264–268.
Panel B
1Institute
for Heart, Vascular, and Stroke Care, Massachusetts General Hospital, Boston, MA, USA 2Cardiovascular Division, Brigham and Women’s Hospital, Boston, MA, USA Corresponding author: Joshua A Beckman Brigham and Women’s Hospital 75 Francis Street Boston, MA 02115 USA Email: [email protected]
‘Images in vascular medicine’ is a regular feature of Vascular Medicine. Readers may submit original, unpublished images related to clinical vascular medicine. Submissions may be sent to: Heather L Gornik, Editor in Chief, Vascular Medicine, via the web-based submission system at http://mc.manuscriptcentral.com/vascular-medicine Downloaded from vmj.sagepub.com at FLORIDA INTL UNIV on June 7, 2015
