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Pediatrics General 25666922

Harlequins Skin change in the newborn is seen in -

A
Autonomic dysfunction
B
Icthyosis
C
Septicemia
D
Polycythemia
High-Yield Explanation
Ans. is 'a' i.e., Autonomic dysfunction Harlequin color change o This rare but dramatic vascular event occurs in immediate newborn period and is most common in low bih weight infants. o If reflects an imbalance in the autonomic vascular regulatory mechanism. o When the infant is placed on the side, the body is bisected longitudinally into pale upper half and a deep red dependent half. Note - The fetus in ichthyosis (option b) appears grostesque and the appearance is called harlequin fetus.

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