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American Academy of Pediatrics
Visual Diagnosis

Term Infant Who Has a Congenital Scalp Defect

Sachin K. Gupta, Vishakha Nanda, Tessy Joseph and Susan Echiverri
NeoReviews March 2012, 13 (3) e199-e201; DOI: https://doi.org/10.1542/neo.13-3-e199
Sachin K. Gupta
*John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
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Vishakha Nanda
*John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
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Tessy Joseph
*John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
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Susan Echiverri
*John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
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The Case

A term infant who has a congenital scalp defect.

Prenatal and Birth Histories

A term male infant is born to a 17-year-old gravida 1, para woman through normal vaginal delivery at 37 weeks’ gestational age. The infant cried immediately after birth, and routine care was given. Apgar scores were 9 at both 1 and 5 minutes of age.

Although the mother had received inadequate prenatal care, she had no other medical or surgical problems. Her prenatal laboratory test results included negative HIV rapid plasma reagin and hepatitis B; she was immune to rubella. Her maternal family history was significant for extremity and skin-related malformations, including mother (scalp and foot deformities in small toes in both feet), aunt (scalp defect only), and cousin (foot deformities only).

Because of prolonged premature rupture of membranes, the infant was treated empirically with antibiotics for 72 hours. His hospital course otherwise remained unremarkable.

Physical Examination

  • Vital signs: temperature, 37°C; heart rate, 140 beats per minute; and respiratory rate, 30 to 40 breaths per minute

  • General: pink and well-perfused infant is breathing comfortably on room air, …

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NeoReviews
Vol. 13, Issue 3
1 Mar 2012
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Term Infant Who Has a Congenital Scalp Defect
Sachin K. Gupta, Vishakha Nanda, Tessy Joseph, Susan Echiverri
NeoReviews Mar 2012, 13 (3) e199-e201; DOI: 10.1542/neo.13-3-e199

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Term Infant Who Has a Congenital Scalp Defect
Sachin K. Gupta, Vishakha Nanda, Tessy Joseph, Susan Echiverri
NeoReviews Mar 2012, 13 (3) e199-e201; DOI: 10.1542/neo.13-3-e199
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More in this TOC Section

  • Severe Intrauterine Growth Restriction, Thrombocytopenia, and Direct Hyperbilirubinemia in a 26-week Premature Infant
  • An Unexpected Brain Lesion in a 2-month-old Infant
  • A Large Tortuous Umbilical Cord with Superficial Abdominal Wall Varicose Veins in a Newborn
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