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September 1961, Vol 102, No. 3 >
Article | September 1961

Petechiae in the Newborn Infant FREE

JOHANN R. POLEY, M.D.; GUNNAR B. STICKLER, M.D.
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Submitted for publication Dec. 15, 1960.


Am J Dis Child. 1961;102(3):365-368. doi:10.1001/archpedi.1961.02080010367011.
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Every physician who examines newborn infants has observed petechiae. Petechiae occurring in the newborn period have been described in standard pediatric textbooks.1,2 The cause for this phenomenon is not quite clear. Our interest in investigating the subject arose from the observation of 4 newborn infants who had widely disseminated petechial bleeding of the scalp, face, and neck, associated with localized cyanosis and some edema (Fig. 1). At the time of delivery these infants had 2 or more loops of umbilical cord wrapped tightly around the neck. Further investigation of the cause of petechiae in the newborn infant led us to the belief that local or regional increase in venous pressure during delivery may be an important factor.

Material and Methods  A total of 250 newborn infants (123 females and 127 males were examined during a 6-week period, with special emphasis on notation of petechiae. The examinations were made between

REFERENCES

1 +
McKay, R. J., Jr., and Smith, C. A.:  Physiology of the Newborn Infant , in Nelson, W. E.: Textbook of Pediatrics , Ed. 7, Philadelphia, W. B. Saunders Company, 1959;, pp. 286-293.
2 +
Holt, L. E., Jr., and McIntosh, R.: Holt Pediatrics , Ed. 12, New York, Appleton-CenturyCrofts, Inc., 1953;.
3 +
Bakulev, A. N., and Kolesnikov, S. A.:  Anastomosis of Superior Vena Cava and Pulmonary Artery in the Surgical Treatment of Certain Congenital Defects of the Heart , J. Thor. Surg. 37:693-702 ( (June) ) 1959;.
4 +
Elphinstone, N. C.; Morris, M. B., and Yudkin, S.:  Petechiae with Cyanosis in the Newborn , Arch. Dis. Child. 29:73-74 ( (Feb.) ) 1954;.
5 +
Walker, C. H. M., and Balf, C. L.:  Capillary Resistance Studies: Part I. The Newborn Infant , J. Obstet. Gynaec. Brit. Emp. 61:1-16 ( (Feb.) ) 1954;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
McKay, R. J., Jr., and Smith, C. A.:  Physiology of the Newborn Infant , in Nelson, W. E.: Textbook of Pediatrics , Ed. 7, Philadelphia, W. B. Saunders Company, 1959;, pp. 286-293.
2 +
Holt, L. E., Jr., and McIntosh, R.: Holt Pediatrics , Ed. 12, New York, Appleton-CenturyCrofts, Inc., 1953;.
3 +
Bakulev, A. N., and Kolesnikov, S. A.:  Anastomosis of Superior Vena Cava and Pulmonary Artery in the Surgical Treatment of Certain Congenital Defects of the Heart , J. Thor. Surg. 37:693-702 ( (June) ) 1959;.
4 +
Elphinstone, N. C.; Morris, M. B., and Yudkin, S.:  Petechiae with Cyanosis in the Newborn , Arch. Dis. Child. 29:73-74 ( (Feb.) ) 1954;.
5 +
Walker, C. H. M., and Balf, C. L.:  Capillary Resistance Studies: Part I. The Newborn Infant , J. Obstet. Gynaec. Brit. Emp. 61:1-16 ( (Feb.) ) 1954;.

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