This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Picture of the Month  • Diagnosis  • Congenital Malformations  • Neonatology and Infant Care  • Alert me on articles by topic

Arch Pediatr Adolesc Med. 2007;161(11):1103.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Denouement and Discussion: Blueberry Muffin Baby (Extramedullary Hematopoiesis) Due to Congenital Cytomegalovirus Infection

Nasopharyngeal, conjunctival, and urine viral cultures grew cytomegalovirus (CMV). Blood CMV pp65 antigenemia was detected at a level of 58/200 000 cells and IgG to CMV was detected. The child was treated for 6 weeks with ganciclovir, and the cutaneous findings slowly faded over 3 to 4 weeks. Initial hearing screen results were normal.

Blueberry muffin baby is a term used to describe a purplish or bluish-red maculopapular rash present at birth, typically on the face, neck, and trunk.¹ Traditionally, it has been used to describe the cutaneous findings of congenital rubella, but other conditions can produce the same skin findings. The differential diagnosis of blueberry muffin baby includes conditions associated with dermal extramedullary hematopoiesis, infiltrative neoplastic lesions of the skin, and cutaneous vascular anomalies. Rarely do new lesions appear after birth. In most cases, the lesions evolve into tan macules and fade completely within a few weeks. When lesions do . . . [Full Text of this Article]

AUTHOR INFORMATION

RELATED ARTICLE

Picture of the Month—Quiz Case
Jonathan M. Gaffin and Patrick G. Gallagher
Arch Pediatr Adolesc Med. 2007;161(11):1102.
EXTRACT | FULL TEXT