Neonatal skin lesions due to a spirochetal infection: a case of congenital Lyme borreliosis?
Trevisan, G.; Stinco, G.; Cinco, M.
International Journal of Dermatology 36(9): 677-680
1997
ISSN/ISBN: 0011-9059 PMID: 9352409 Document Number: 251
On 7 May 1993, a 9-month-old baby boy was referred to the Pediatric Outpatient Clinic of the University Department of Dermatology in Trieste. For 8 months he had been suffering from a relapsing multiple annular erythema. Physical examination revealed a generalized, asymmetric, elevated, urticarial erythema characterized by arched, ring-shaped polycyclic patches (Fig 1). Furthermore, the infant had a generalized lymphoadenopathy, but no other general symptoms were found. The baby's parents reported that the lesions had first appeared 3 weeks after birth, had regressed spontaneously in 2-3 weeks, and had relapsed four times before our observation. The lesion-free periods between the relapses had become shorter and shorter and the clinical manifestations had become more and more serious. Fever (about 39°C), which had accompanied the cutaneous eruptions, had disappeared during the first day.
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