By Arnold J. Rudolph M.D., Arnold J. Rudolph MD
This is often a part of a astounding 5-volume set representing the lifestyles paintings of the main meticulous photographic archivist in neonatology. Over the process forty years, Dr. Rudolph gathered images of just about each illness, sickness, and affecting the infant. jointly they act as a uniquely strong diagnostic instrument.
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Extra info for Atlas of the newborn. / Vol. 4, Dermatology and perinatal infection
Macular hemangioma (“angel’s kiss”) of the eyelids in a newborn infant. Vascular nevi occur in up to 40% of newborns. They are divided into three groups (salmon patches, hemangiomas, and vascular malformations) and are classified by their histology and the degree of involvement of the skin and subcutaneous tissues. The most common are the salmon patches (macular hemangioma, nevus flammeus). They consist of dilated capillaries in the superficial layers of the dermis and are noted most commonly on the face, the midforehead, the glabella, philtrum, and the nape of the neck.
144. A large cavernous lymphangioma of the left axilla and anterior chest present at birth in an infant. Cavernous lymphangioma consists of diffuse soft tissue masses of large cystic dilatations of lymphatic vessels in the dermis and subcutaneous tissue, and may involve the intermuscular septa. The lesions are ill-defined and frequently involve large areas of the face, trunk, and extremities. They may occur in the tongue, resulting in macroglossia. Lymphangiomas frequently have a hemangiomatous component (hemangiolymphoma) so that some of the vesicles are filled with fresh or altered blood.
Biopsy diagnosis was a hemangiolymphoma. Note the redness of the area which was related to secondary infection, a common complication. 149. In another infant with elephantiasis congenita angiomatosis, note the massive involvement of the right lower extremity. Diffuse angiomas (elephantiasis lymphangiectatica) are large, ill-defined cystic dilatations involving the skin, subcutaneous tissue, muscles, and mucous membrane. They may involve the trunk, extremities, and large areas of the face, lips, or tongue.
Atlas of the newborn. / Vol. 4, Dermatology and perinatal infection by Arnold J. Rudolph M.D., Arnold J. Rudolph MD