A male infant showed a cutaneous rash at birth. These cutaneous lesions were associated with marked elevation of the circulating nucleated red blood cells, and with ultrasound findings of peculiar brain ischemic porencephalic lesions. The clinical features of spontaneous disappearance and the association with marked erythroblastosis strongly suggest that these dermatological findings may be the consequence of an extramedullary hematopoiesis unexpectedly evoked by the intrauterine chronic exposure to hypoxia caused by severe maternal anemia.

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Examination

&nbsp;The infant was 1530-gram, male neonate (50&deg;&ndash;75&deg; pc) and was born at 30 gestational weeks by urgent cesarean section due to an abnormal nonstress test associated with ultrasound findings of oligohydramnios and cerebral blood flow redistribution.The pregnancy was uneventful until the 24th gestational week, when multiple episodes of massive vaginal bleeding caused severe maternal anemia (hemoglobin 5.0 g/dL) necessitating three red blood cell (RBC) transfusions. led to the bronchospasm during anesthetic induction?

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MediSage Case Discussions

Explore the connection between cutaneous rash, erythroblastosis, and maternal anemia in a neonate. Learn about clinical implications and findings.

Cutaneous Rash in Neonate: Causes & Insights

Severe cutaneous rash at birth & Elevated RBC

Clinical case discussion shared for educational purposes and professional medical opinion.

Severe cutaneous rash at ...