Rash

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I admitted a 37.3 weeker a few days ago who was born with a vesicular rash. My first thought upon seeing him was ckn pox. They covered head to toe, all superficial though. Obviously they were ruptured during the drying process. This kid eveyone stumped. (we put the temp probe on the sole of his foot, one of the only places where there were not any lesions!) We ran every test know to man.

Today they diagnosed the kid with Langerhans Histocytosis. The dermatologist was kinda supprised, he said that he has never seen a case in an infant under 28 days, and that he has not found any "just born" newborns with an active case.

I was just wondering if anyone has seen this in their unit?

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Specializes in Neonatal ICU (Cardiothoracic).

Actually I did have a kid last year with this. It appeared within 24 hours of birth, and once the vesicles ruptured, they looked bluish/purple/red, almost like CMV. We initially treated with Acyclovir, then got a derm consult and found out it was LCH. We ran a bunch of limb and long-bone xrays, and sent several biopsies. Luckily his went away a few months after d/c, instead of the kind that requires chemotherapy and is almost always fatal.... very weird condition....

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It was intresting to see. We went for a long bone on wed when he was diagnosed, but I was off today so I don't know what is going on with him. I'm hoping it will go away without any chemo.

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Sorry about all the posts. My comp wasn't sending them, or at least tell me it was!

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