Diagnostic Pitfalls in Newborns and Babies with Blisters and Erosions

Establishing the correct diagnosis in newborns presenting with blisters and erosions is not always a straightforward process. Many different disease entities including acquired (i.e., infectious, immunobullous, traumatic) and inherited disorders have to be taken into consideration. Similarities in c...

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Main Authors: Elke Nischler, Alfred Klausegger, Clemens Hüttner, Gabriele Pohla-Gubo, Anja Diem, Johann W. Bauer, Helmut Hintner
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2009/320403
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author Elke Nischler
Alfred Klausegger
Clemens Hüttner
Gabriele Pohla-Gubo
Anja Diem
Johann W. Bauer
Helmut Hintner
author_facet Elke Nischler
Alfred Klausegger
Clemens Hüttner
Gabriele Pohla-Gubo
Anja Diem
Johann W. Bauer
Helmut Hintner
author_sort Elke Nischler
collection DOAJ
description Establishing the correct diagnosis in newborns presenting with blisters and erosions is not always a straightforward process. Many different disease entities including acquired (i.e., infectious, immunobullous, traumatic) and inherited disorders have to be taken into consideration. Similarities in clinical appearance, colonization and/or superinfections of preexisting skin lesions, as well as the absence of late changes in the neonate often pose significant diagnostic challenges. In this paper we discuss by giving examples the process of making an accurate diagnosis of blistering skin diseases in the neonatal period on the basis of a diagnostic algorithm. In addition, we provide an overview of the rational use and the limitations of laboratory procedures such as microbial testing, routine light microscopy, immunofluorescence antigen mapping, transmission electron microscopy, and molecular genetic analysis.
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series Dermatology Research and Practice
spelling doaj-art-f5e4da7e3b5348539c8a2c07a50310b32025-02-03T01:27:36ZengWileyDermatology Research and Practice1687-61051687-61132009-01-01200910.1155/2009/320403320403Diagnostic Pitfalls in Newborns and Babies with Blisters and ErosionsElke Nischler0Alfred Klausegger1Clemens Hüttner2Gabriele Pohla-Gubo3Anja Diem4Johann W. Bauer5Helmut Hintner6Department of Dermatology, eb-house Austria, Paracelsus Private Medical University Salzburg, Muellner Hauptstraße 48, 5020 Salzburg, AustriaDepartment of Dermatology, eb-house Austria, Paracelsus Private Medical University Salzburg, Muellner Hauptstraße 48, 5020 Salzburg, AustriaDepartment of Dermatology, eb-house Austria, Paracelsus Private Medical University Salzburg, Muellner Hauptstraße 48, 5020 Salzburg, AustriaDepartment of Dermatology, eb-house Austria, Paracelsus Private Medical University Salzburg, Muellner Hauptstraße 48, 5020 Salzburg, AustriaDepartment of Dermatology, eb-house Austria, Paracelsus Private Medical University Salzburg, Muellner Hauptstraße 48, 5020 Salzburg, AustriaDepartment of Dermatology, eb-house Austria, Paracelsus Private Medical University Salzburg, Muellner Hauptstraße 48, 5020 Salzburg, AustriaDepartment of Dermatology, eb-house Austria, Paracelsus Private Medical University Salzburg, Muellner Hauptstraße 48, 5020 Salzburg, AustriaEstablishing the correct diagnosis in newborns presenting with blisters and erosions is not always a straightforward process. Many different disease entities including acquired (i.e., infectious, immunobullous, traumatic) and inherited disorders have to be taken into consideration. Similarities in clinical appearance, colonization and/or superinfections of preexisting skin lesions, as well as the absence of late changes in the neonate often pose significant diagnostic challenges. In this paper we discuss by giving examples the process of making an accurate diagnosis of blistering skin diseases in the neonatal period on the basis of a diagnostic algorithm. In addition, we provide an overview of the rational use and the limitations of laboratory procedures such as microbial testing, routine light microscopy, immunofluorescence antigen mapping, transmission electron microscopy, and molecular genetic analysis.http://dx.doi.org/10.1155/2009/320403
spellingShingle Elke Nischler
Alfred Klausegger
Clemens Hüttner
Gabriele Pohla-Gubo
Anja Diem
Johann W. Bauer
Helmut Hintner
Diagnostic Pitfalls in Newborns and Babies with Blisters and Erosions
Dermatology Research and Practice
title Diagnostic Pitfalls in Newborns and Babies with Blisters and Erosions
title_full Diagnostic Pitfalls in Newborns and Babies with Blisters and Erosions
title_fullStr Diagnostic Pitfalls in Newborns and Babies with Blisters and Erosions
title_full_unstemmed Diagnostic Pitfalls in Newborns and Babies with Blisters and Erosions
title_short Diagnostic Pitfalls in Newborns and Babies with Blisters and Erosions
title_sort diagnostic pitfalls in newborns and babies with blisters and erosions
url http://dx.doi.org/10.1155/2009/320403
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