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- W2023686434 abstract "The skin of the newborn infant is viewed in different ways. Parents marvel at it and can be seen touching, stroking and staring at it. Any minor blemish in this perfect organ is a cause for concern. The nurse or midwife may take it for granted, using it as a convenient site for the attachment of monitoring probes. However, the neonatal intensive care nurse recognizes it as a delicate and easily damaged organ in the very immature infant and worries about how to prevent or treat any damage. This worry increases greatly when caring for an infant with a rare congenital disorder in which the skin is intensely fragile. The doctor usually does not give the skin a second thought—it is a layer to be pierced to reach a vein or artery underneath. However, if it is malformed or diseased, there is uncertainty. Is the lesion an innocuous blemish or an early sign of serious disorder? Will it get better or persist? The uncertainty leads to insecurity and anxiety but access to a dermatologist with paediatric expertise is often limited. The aim of this edition of Seminars in Neonatology is to help all these groups. It is an edition of two halves. The first relates to the normal skin of an abnormal group of infants, those born prematurely. The second is concerned with the abnormal skin of infants who may be otherwise normal. The increasing application of intensive care to infants on the borderline of viability has introduced neonatologists to the failure of organs which usually work well. The skin is such an organ. ‘Skin failure’ is a concept which is recognized by burns units or by dermatologists who treat patients with extensive weeping skin disease. The infant of 24 weeks’ gestation shares the problems of such" @default.
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- W2023686434 date "2000-11-01" @default.
- W2023686434 modified "2023-09-26" @default.
- W2023686434 title "The newborn skin" @default.
- W2023686434 doi "https://doi.org/10.1053/siny.2000.0012" @default.
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