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Mukadder A. Selimolu, MD; Uur Dilmen, MD; Cahit Karakelleolu, MD; Hürol Bitlisli, MD; Walter W. Tunnessen, Jr, MD

Arch Pediatr Adolesc Med. 1995;149(10):1171-1172.

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

MACULAR erythema developed on one half of the body of a full-term new-born with transient tachypnea on the third day of life (Figure 1). The color change lasted 10 minutes and was not associated with changes in vital signs. A similar change in body color developed in an otherwise healthy premature infant on the fifth postnatal day (Figure 2).

Denouement and Discussion

Harlequin Color Change

The harlequin color change was first described by Neligan and Strang in 1952.¹ Premature infants are more commonly affected than fullterm infants, but up to 10% of full-term infants may display this phenomenon, most commonly on the third or fourth days of life.^2,3 The characteristic appearance is a macular erythema involving one half of the infant's body, with simultaneous blanching of the other half. This most commonly occurs when the infant is lying on his or her side, with the upper side pale and the . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pediatrics, Atatürk Üniversity Faculty of Medicine, Erzurum, Turkey (Drs Selimolu, Dilmen, Karakelleolu, and Bitlisli), and the American Board of Pediatrics, Chapel Hill, NC (Dr Tunnessen).

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