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Neonatal skin barrier: structure, function, and disorders

Authors

  • Tor Shwayder,

    Corresponding author
    1. Pediatric Dermatology, Henry Ford Hospital, Detroit, MI, and
      Address correspondence and reprint requests to: Tor Shwayder, MD, FAAP, FAAD, Henry Ford Hospital, 2799 West Grand Boulevard, K-16, Detroit, MI 48202, or email: tshwayd1@hfhs.org.
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  • Tom Akland

    1. Pediatrics, Sparrow Hospital, Lansing, MI
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Address correspondence and reprint requests to: Tor Shwayder, MD, FAAP, FAAD, Henry Ford Hospital, 2799 West Grand Boulevard, K-16, Detroit, MI 48202, or email: tshwayd1@hfhs.org.

Abstract

ABSTRACT:  The development of the human skin from intrauterine to extrauterine life is a balletic interplay of maturing layers and interlocking structures. We discuss this transition and then branch out to touch on issues of premature infant as well as neonatal skin care. Disruption of the barrier function due to toxins and development errors are expounded upon. Staph scalded skin syndrome, collodion membrane, bullous congenital ichthyosiform erythroderma, autosomal recessive ichthyosis (lamellar and congenital ichthyosiform erythroderma), and harlequin fetus are used as examples of these disruptions. Discussion of therapy with the authors’ experience highlights each disease.

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