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October 1995, Vol 149, No. 10 >
Article | October 1995

Picture of the Month

Mukadder A. Selimoǧlu, MD; Uǧur Dilmen, MD; Cahit Karakelleoǧlu, MD; Hürol Bitlisli, MD; Walter W. Tunnessen, MD
Arch Pediatr Adolesc Med. 1995;149(10):1171-1172. doi:10.1001/archpedi.1995.02170230125020.
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MACULAR erythema developed on one half of the body of a full-term new-born with transient tachypnea on the third day of life (Figure 1). The color change lasted 10 minutes and was not associated with changes in vital signs. A similar change in body color developed in an otherwise healthy premature infant on the fifth postnatal day (Figure 2).

Denouement and Discussion 

Harlequin Color Change  The harlequin color change was first described by Neligan and Strang in 1952.1 Premature infants are more commonly affected than fullterm infants, but up to 10% of full-term infants may display this phenomenon, most commonly on the third or fourth days of life.2,3 The characteristic appearance is a macular erythema involving one half of the infant's body, with simultaneous blanching of the other half. This most commonly occurs when the infant is lying on his or her side, with the upper side pale and the

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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

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