![]() This is not pathologic and will go away after 1-2 weeks.Įxcuse my grammatical errors above. Sometimes, the breasts become engorged and drain a white liquid known as “witches milk”. It can persist for several months after birth. It is due to stimulation from maternal estrogen in utero. Sometimes, if you lay them on the pale side, the color change will shift and the dependent side will get red and the other side will get pale.īreast enlargement – this can occur on both male and female infants. It is due to vasomotor instability and is normal in the newborn period. The neonate appears to be divided down the middle into a pale half and a red half starting at the forehead and going to the pubis. It is uncommon and is not due to disease in the heart or the vessels. Harlequin color change – this one is dramatic. It is due to engorgement of a venous plexus around the mouth and is normal. If the lips and tongue remain pink while the area around the mouth turns blue, this is fine. You may even witness this yourself in the exam room. Peri-oral cyanosis – the parent will come in and report that the baby turned blue around the mouth. ![]() If the baby has pink lips and tongue, it is not concerning and should disappear with warming. ![]() It may be seen in the first few months of life. It is usually seen when the baby gets cold and can be dramatic after they are pulled out of the bathtub. Acrocyanosis – blue hands and feet, also due to vasomotor instability and also generally benign.
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