Everything in the NICU is not about the complicated level-3 cases. I learned something new over the weekend shift, that umbilical granuloma can be treated with regular table salt (!). Another colleague had read about this and tried on one of our ex-preterm graduates with a granuloma. Seemingly good outcome. Had to do some Pubmed-browsing and found two papers on the topic, the latter being a systemic review https://pubmed.ncbi.nlm.nih.gov/31120144/ https://pubmed.ncbi.nlm.nih.gov/33154632 ..read more

When a baby has gross edema and skin is extremely tense and breaking at many points and making many points vulnerable to pressure necrosis, what is the best way to care for the skin in these circumstances ? Kindly send some references also. I will also appreciate if some skin care guidelines of Neonate are also shared ..read more

 Full term born  with this pic ...Not seen every day..initially diagnosed cutis aplasia  ..read more

Twin, w31+4, SGA 994g. Short time on ventilator/RDS and later CPAP. Now on HFNC. Now 6 weeks old.   Since roughly 2 weeks age this girl has a patch of hypertrichosis in her scalp. This is surrounded by an area of slightly less hair. The patch has crusta-like borders so it feels like a scab. The dermatologist speculated a month ago of it being caused by the CPAP. It looks the same now after a month and I´m not familiar with wounds that has excessive hair growth in them? I´ve looked up "nevoid hypertrichosis" as an alternative diagnosis but of course a rea ..read more

I need a little of your help. We have a term newborn in our NICU in which we observed a particular skin reaction on both legs: it begins as a cutis marmorata and ends with blanching of the skin with appearence of "orange skin/goosebump skin". It lasts more or less 10 seconds. Initially we suspected an early onset infection (the baby initially was moderately tachypnoic) but all tests were negative. The newborn now is going well: he's breastfeeded and he's growing up, but we're seeing this reaction frequently in the baby. I think it's an exaggerated "Cutis marmorata ..read more

Hello .   I would like to share with you these pictures for a term baby who was born in a good condition after uneventful pregnancy .   So , what to do next ? Imaging for head and abdomen ?    ( permition taken )  Thanks .     ..read more

!9 day old newborn has been brought by the parents for knowing what to do with the multiple haemangiomas present from birth. At present baby is fine on exclusive nreastfeeding. 1) What is the liklehood of this baby having internal haemangiomas? 2)what are the investigations of choice? 3)when should we think about propranolol treatment? 9ermission to post has been obtained from parents ..read more

We admit the baby with harlequin ichtiosis .I need  your experience about this ,your expierienceie on the treatmant ..read more

looking for suggestions regarding management of a term male baby born to a primi ,with 1st degree consanguinity ,which was referred from a local hospital with history of large bullous lesions noticed at birth, all over the body including oral mucosa ,which peels easily on touch.Their is no palmar or plantar lesions though. lesion is suggestive of epidermolysis bullosa ,most likely dystrophic variety .The child is currently on ampicillin and cloxacillin combination along with acyclovir (just to cover for possible Staphylococcal /herpes).nursing care with mupirocin local application and paraffin ..read more

infant aged now 4 m, he had circular lesion in back of his head 2 cm in diameter, red, with scales on it , hair is preserved is it tinea ..read more