Edema of the eye in a newborn
Soon after birth, you can establish swelling at thedistal parts of the limbs, located on the hand and feet, but sometimes the genital area. In some cases, swelling starts from the genitals and spreads to the lower part of the abdomen and thigh. Such edema formation is observed most often in premature infants whose edema may be generalized.
The origin of these edemas is not always clear. A temporary hypoproteinemia. but in their provocation are still imperfect water-salt metabolism, weak concentrating ability of the kidneys - insufficient influence on the tubules adiuretin and aldosterone - and high permeability of capillary walls.
These swelling usually appear after a fewdays after birth and in most cases approximately a week decrease and disappear; only in premature babies they are delayed for a longer time.
The weak manifestation of these edemas and their appearance on the 3-4th day of life make it easy to distinguish them from congenital puffiness when placental hydrocephalus fetus (hydrops unniversalis congenitus), which occurs as a species hemolytic disease Newborns with Rh-incompatibility betweenmother and child. In these cases, it is usually a preterm fetus with generalized and large edema, frequent presence of fluid (transudate) in body cavities and enlarged liver. Children are born dead or die usually shortly after birth. Puffiness in these cases is associated with hypoproteinemia as a result of liver damage.
These soft edema are characterized by their density edema at sclereme and sclera.
Skelredema is observed more often in premature infantsand those born with low birth weight. Edema appears in the first few days of life and is found most often on the lower extremities, mainly on the outside of the thighs, and in some cases extends to the buttocks without showing a tendency to generalization. Unlike others localized edema. characterized by softness, sclerom is a dense swelling of the skin. Skin tight and cold. When you press your finger, there is a fossa on the skin, which disappears very slowly. This edema has neither stagnant nor inflammatory character.
Body temperature of newborns is often lowernormal, the general physical condition is broken. With good care, especially with warming and proper nutrition for several weeks, the skin changes gradually disappear.
Sclera is a more unfavorable signviability of newborns. In most cases, it appears on the proximal parts of the limbs and especially on the outside of the thighs. The genital area is usually not covered, the face is relatively rare. In the field of education sclera the skin is hard as a board and cold, often of a cyanotic color. When pressing, a hole is not formed.
In some cases sclera can cover the whole body, especially whenfebrile states, in which there is rapid dehydration and weight loss. In that case, the state is hopeless. The whole body is numb, limbs do not bend, the child resembles a wax doll.
Skelredema and sclerema, between which there is only a difference in degree, belong to collagen diseases and their prognosis is significantly improved after treatment cortisone.