Respiratory papillomatosis in newborn
These may occur before conceiving or manifest for the first time during pregnancy as a result of hormonal and immunological change. These are the respiratory papillomatosis in newborn pre-existing skin diseases: atopic dermatitis, seborrhoeic dermatitis, psoriasis, acuminate condyloma and genital herpes infections.
Atopic dermatitis Atopic dermatitis atopic eczema is a chronic inflammatory skin disease accompanied by pruritus. No skin lesions are present, only secondary types, as erythema, desquamation, lichenification, and sometimes papules.
Lesions may exude secretions and secondary bacterial infections may be present. This skin condition may improve during pregnancy.
Treatment involves the use of topical steroids. Soap should be limited only in critical areas: on hands, face, axles and the inguinal areas.
Seborrheic dermatitis Seborrheic dermatitis is characterized by hyperemia and scaling of the scalp, as well as of the para-nasal, sub-metamorphic, post-auricular, sternal, inframamar, axillary, umbilical and inguinal areas. The respiratory papillomatosis in newborn remains uncertain, although there was found that Malassezia fungus is involved in the pathogenic contact with the skin barrier.
The treatment includes the use of topical corticosteroids, ketoconazole cream, and selenium sulfide foam. Occlusive agents, such as moisturizing creams and vaseline can cure dermatitis. Psoriasis Psoriasis is respiratory papillomatosis in newborn chronic inflammatory and proliferative disorder of the skin that is characterized by erythematous plaques surrounded by a silver margin.
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Psoriasis may vary during pregnancy. Some retrospective studies commonly show improvement or no change in this skin condition during pregnancy.
The treatment includes topical corticosteroids, calcipotriol and tar. Detoxifiere eficienta antidiabetics such as methotrexate, hydroxyurea and retinoids are contraindicated during pregnancy. Warts can occur in any part of the body and may be referred to as verrucae vulgaris.
Cutaneous manifestations in pregnancy: Pre-existing skin diseases
When located in the genital area, these are usually called condylomata acuminata, which often appear as skin-colored, cauliflower-like exophy masses. The amount of viral DNA is also highly increased during pregnancy.
Diagnosis of HPV infection is important, since some strains can be transmitted to the fetus through the maternal infected birth canal, being subsequently associed with juvenile respiratory papillomatosis among infected newborns. Respiratory papillomatosis in children is rare, compared with the incidence of condylomas in women of childbearing age.
Thus, the cesarean respiratory papillomatosis in newborn in this situation is a controversial issue due to the risks of the surgical intervention itself.
Treatment during pregnancy includes topical preparations with salicylic acid trichloroacetic acid, cryotherapy, cauterization or laser ablation. Other topical agents such as podophyllin are contraindicated during pregnancy.
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Clinical infection occurs through vesicles grouped on an erythematous basis that can later erode and form ulcers. The lesions commonly occur around the mouth and are called herpes simplex labialis. Asymptomatic carriers of herpes respiratory papillomatosis in newborn who lack any skin lesions have been identified. Infection with genital herpes herpes progenitalis at birth is associated with an increased risk of enonatal infection.
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The visceral organs are severely impaired respiratory papillomatosis in newborn infected newborns, even in the absence of skin lesions. It is highly important to diagnose and treat herpetic infection during pregnancy. Patients at high risk for HSV infection should be tested weekly for viral cultures, and if there is evidence of active infection or viral carriers, caesarean section is recommended to be performed.
The aortic coarctation CoA is respiratory papillomatosis in newborn most frequently omitted ductal-dependent cardiac deffect on neonatal screening and also one of the most difficult diagnosis to establish before birth. So, it is absolutely necessary to make the cardiac screening for every newborn before discharging. It consists of preand postductal pulsoximetry and measuring the blood pressure to all four limbs. Also, it is respiratory papillomatosis in newborn to confirm this diagnosis by the fetal cardiologist in all cases of CoA suspected and the pregnant women to be oriented for delivery in a specialized centre in cardiac intensive neonatal care.
Acyclovir is an antiviral preparation of category C during pregnancy, which is used for primary or symptomatic infections. Autori: Luminița Mihalcean, doctor în ştiinţe medicale, asistent universitar, Catedra Obstetrică și Ginecologie; Hristiana Caproș, doctor în ştiinţe medicale, asistent universitar, Catedra Obstetrică și Ginecologie. Recenzenţi: Boris Nedelciuc, doctor în ştiinţe medicale, conferenţiar universitar, Catedra Dermatovenerologie; Stelian Hodorogea, doctor în ştiinţe medicale, conferenţiar universitar, Catedra Obstetrică și Ginecologie.
Bibliografia la autori.