I have an OB test on Thursday. What is Harlequin's sign as it relates to the newborn? The net is not helping me.
Quote from weetziebat
When I worked in NBICU we would occasionally see babies with this. It was as though you'd drawn a line down the center of their body and on one side the skin was red and on the other they were white. And I mean a big difference. Don't remember though what the cause is.
Good luck on the test
This concurs with what my Tabers's says, be aware of Harlequin's Sign
Harlequin's fetus which is much more severe and the neonate has toad like horny skin with deep red lines and usually fatal within hours of birth
No cause for either listed in Taber
Ta DA I learneed something, I have nevr worked OB except my clinicals and here I am learning imagine that.
Last edit by CCU NRS on Sep 28, '04
Quote from veteranRN
I saw a picture of it once in a medical dictionary and had nightmares afterwards. It looked kinda scary and obviously the baby in the photo was deceased.
Remember, Harlequin's sign
is a harmless thing that only happens within the first few hours of a baby's life, a vasomotor response, like BittyBabyGrower said. Here's a photo I found on Google - it's not the best, but you can kind of see the color change. It looks more dramatic in person.
, aka Harlequin Ichthyosis
, is a horrible birth defect that is always fatal. There was an article in Neonatal Network
last year, I think, that outlined the comfort care provided for these poor souls. It's very frustrating, as it's almost impossible to place or keep an IV secured in these babies, so analgesia is an issue.
For anyone who is interested, this is a website about that condition. DO NOT click
on this unless you are truly intersted in learning more. It's VERY disturbing for most people to see the photos provided.
Last edit by Gompers on Sep 28, '04