Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jan 16, 2013.
Spot The Right Medical Diagnosis ?
neonatal seborrhoeic dermatitis
As a humble small medical student, my guess is Ichthyosis, the scaling, but not really erythema, doesn't look like fungal or other infection, also doesn't look like Psoriasis....so, I guess ichthyosis (but I have never seen any children with ichthyosis yet, in life of study so far )
I will call this Infantile seborrheic dermatitis....not sure whether this child is a neonate.
Early lesions don't have any gross inflammation and some develop a subtle erythema and very few will develop a stark erythematous sclay picture.
a) some believe it is response of the sebaceous glands to persisting maternal hormones ( not sure which one...but i suspect it has to be androgens )
b) another theory is that it is fungal overgrowth, due to maternal antibiotics given prenatally ( according to my professor...it is an inflammatory response to the fungus, which manifests as excess sebum production..becos there are only a few ways that an infantile immune system can respond and this excess sebum could be a way to suffocate and wash out the fungus ) ...I can't vouch for that ( even though it's my professor's words )
Let's see what the big guys have to say
So lovely baby! It is an inflammatory response to the fungus.
Infant seborrheic dermatitis.
Thank you so very much for the great explanation One more experience added to my brain :-D
Answer : Seborrhoeic dermatitis
Separate names with a comma.