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Exfoliative dermatitis of newborns Ritter
Last reviewed: 23.04.2024
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Dermatitis exfoliative newborn Ritter is an exfoliative variant of epidemical pemphigus of newborns, most often caused by staphylococcus. Occurs during the 1st month of life, is clinically characterized by the sudden development of erythematous-edematous and bullous elements, which spread rapidly throughout the skin, and the process acquires the character of erythroderma with large-plate scaling. The symptom of Nikolsky is positive, which can lead to the formation of extensive erosion. At the height of the disease - fever, severe general condition, dyspepsia, pyococcal lesions of internal organs. The outlook is unfavorable.
[Pathomorphology of dermatitis of exfoliative newborn Ritter
Vessels of the dermis and subcutaneous tissue are enlarged, the edema of the spiky layer of the epidermis down to the horny one is pronounced, it spreads to the papillary and reticular layers of the dermis, where moderately expressed perivascular infiltrates are defined. In some cases, inflammatory phenomena are quite significant, sometimes with signs of hemorrhage.