DermAtlas: Online Dermatology Image Library dermatology image,blueberry muffin lesions,purpura,leukemia cutis,disseminated intravascular coagulation,cytomegalovirus infection (CMV)

© 2001-2010, DermAtlas	*Image Name:*	blue_berry_muffin_baby_1_040520	*File Type:*	jpg
	*Diagnosis:*	BLUEBERRY MUFFIN LESIONS	*Category:*	neonatal dermatology / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	face	*Age:*	2 days
	*Contributor:*	Bernard Cohen, MD
	*Description:*	multiple disseminated bluish purple 3 mm to 1 cm nodules
	*Comments:*	This healthy newborn had multiple blueberry muffin lesions at birth. His physical examination was otherwise normal without evidence of organomegaly or adenopathy. A complete blood count was normal, and a skin biopsy was pending.
	*Related Images:*	All related Images blue_berry_muffin_baby_4_040520 blue_berry_muffin_baby_3_040520 blue_berry_muffin_baby_2_040520

© 2001-2010, DermAtlas	*Image Name:*	blue_berry_muffin_baby_2_040520	*File Type:*	jpg
	*Diagnosis:*	BLUEBERRY MUFFIN LESIONS	*Category:*	neonatal dermatology / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	face	*Age:*	2 days
	*Contributor:*	Bernard Cohen, MD
	*Description:*	multiple disseminated bluish purple 3 mm to 1 cm nodules
	*Comments:*	This healthy newborn had multiple blueberry muffin lesions at birth. His physical examination was otherwise normal without evidence of organomegaly or adenopathy. A complete blood count was normal, and a skin biopsy was pending.
	*Related Images:*	All related Images blue_berry_muffin_baby_4_040520 blue_berry_muffin_baby_3_040520 blue_berry_muffin_baby_1_040520

© 2001-2010, DermAtlas	*Image Name:*	blue_berry_muffin_baby_3_040520	*File Type:*	jpg
	*Diagnosis:*	BLUEBERRY MUFFIN LESIONS	*Category:*	neonatal dermatology / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	abdomen	*Age:*	2 days
	*Contributor:*	Bernard Cohen, MD
	*Description:*	multiple disseminated bluish purple 3 mm to 1 cm nodules
	*Comments:*	This healthy newborn had multiple blueberry muffin lesions at birth. His physical examination was otherwise normal without evidence of organomegaly or adenopathy. A complete blood count was normal, and a skin biopsy was pending.
	*Related Images:*	All related Images blue_berry_muffin_baby_4_040520 blue_berry_muffin_baby_2_040520 blue_berry_muffin_baby_1_040520

© 2001-2010, DermAtlas	*Image Name:*	blue_berry_muffin_baby_4_040520	*File Type:*	jpg
	*Diagnosis:*	BLUEBERRY MUFFIN LESIONS	*Category:*	neonatal dermatology / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	back	*Age:*	2 days
	*Contributor:*	Bernard Cohen, MD
	*Description:*	multiple disseminated bluish purple 3 mm to 1 cm nodules
	*Comments:*	This healthy newborn had multiple blueberry muffin lesions at birth. His physical examination was otherwise normal without evidence of organomegaly or adenopathy. A complete blood count was normal, and a skin biopsy was pending.
	*Related Images:*	All related Images blue_berry_muffin_baby_3_040520 blue_berry_muffin_baby_2_040520 blue_berry_muffin_baby_1_040520

© 2001-2010, DermAtlas	*Image Name:*	Purpura_5_030127	*File Type:*	jpg
	*Diagnosis:*	PURPURA / LEUKEMIA CUTIS / DISSEMINATED INTRAVASCULAR COAGULATION / BLUEBERRY MUFFIN LESIONS	*Category:*	neoplasm, malignant / purpura / neonatal dermatology
	*Body Site:*	total body / trunk chest / abdomen	*Age:*	3 days
	*Contributor:*	Ari Weintraub, MD
	*Description:*	disseminated purpuric patches, papules and plaques
	*Comments:*	This neonate, born at 38 wks gestation, was delivered by urgent cesarian section for late decelerations. He was noted to have purpuric papules, patches and plaques in the delivery room, and disseminated intravascular coagulation was subsequently discovered on arrival in the nursery intensive care unit.. Bone marrow biopsy revealed myeloid maturation arrest. On day 5, a Grade IV intraventricular hemorrhage was discovered, and the patient ultimately progressed to brainstem herniation and death. Post-mortem examination revealed a diagnosis of congenital acute monoblastic leukemia with leukemic infiltration of the skin and multiple organs.
	*Related Images:*	All related Images Purpura_1_030127 Skin_infiltration_1_030127 Purpura_2_030127 Purpura_3_030127 Purpura_4_030127 CT_IVH_3_030131 CT_IVH_2_030131 CT_IVH_1_030131

© 2001-2010, DermAtlas	*Image Name:*	Purpura_4_030127	*File Type:*	jpg
	*Diagnosis:*	PURPURA / LEUKEMIA CUTIS / DISSEMINATED INTRAVASCULAR COAGULATION / BLUEBERRY MUFFIN LESIONS	*Category:*	neoplasm, malignant / purpura / neonatal dermatology
	*Body Site:*	total body / trunk chest / abdomen	*Age:*	3 days
	*Contributor:*	Ari Weintraub, MD
	*Description:*	disseminated purpuric patches, papules and plaques
	*Comments:*	This neonate, born at 38 wks gestation, was delivered by urgent cesarian section for late decelerations. He was noted to have purpuric papules, patches and plaques in the delivery room, and disseminated intravascular coagulation was subsequently discovered on arrival in the nursery intensive care unit.. Bone marrow biopsy revealed myeloid maturation arrest. On day 5, a Grade IV intraventricular hemorrhage was discovered, and the patient ultimately progressed to brainstem herniation and death. Post-mortem examination revealed a diagnosis of congenital acute monoblastic leukemia with leukemic infiltration of the skin and multiple organs.
	*Related Images:*	All related Images Purpura_1_030127 Skin_infiltration_1_030127 Purpura_2_030127 Purpura_3_030127 Purpura_5_030127 CT_IVH_3_030131 CT_IVH_2_030131 CT_IVH_1_030131

© 2001-2010, DermAtlas	*Image Name:*	Purpura_3_030127	*File Type:*	jpg
	*Diagnosis:*	PURPURA / LEUKEMIA CUTIS / DISSEMINATED INTRAVASCULAR COAGULATION / BLUEBERRY MUFFIN LESIONS	*Category:*	neoplasm, malignant / purpura / neonatal dermatology
	*Body Site:*	total body / trunk chest / abdomen	*Age:*	3 days
	*Contributor:*	Ari Weintraub, MD
	*Description:*	disseminated purpuric patches, papules and plaques
	*Comments:*	This neonate, born at 38 wks gestation, was delivered by urgent cesarian section for late decelerations. He was noted to have purpuric papules, patches and plaques in the delivery room, and disseminated intravascular coagulation was subsequently discovered on arrival in the nursery intensive care unit.. Bone marrow biopsy revealed myeloid maturation arrest. On day 5, a Grade IV intraventricular hemorrhage was discovered, and the patient ultimately progressed to brainstem herniation and death. Post-mortem examination revealed a diagnosis of congenital acute monoblastic leukemia with leukemic infiltration of the skin and multiple organs.
	*Related Images:*	All related Images Purpura_1_030127 Skin_infiltration_1_030127 Purpura_2_030127 Purpura_4_030127 Purpura_5_030127 CT_IVH_3_030131 CT_IVH_2_030131 CT_IVH_1_030131

© 2001-2010, DermAtlas	*Image Name:*	Purpura_2_030127	*File Type:*	jpg
	*Diagnosis:*	PURPURA / LEUKEMIA CUTIS / DISSEMINATED INTRAVASCULAR COAGULATION / BLUEBERRY MUFFIN LESIONS	*Category:*	neoplasm, malignant / purpura / neonatal dermatology
	*Body Site:*	total body / trunk chest / abdomen	*Age:*	3 days
	*Contributor:*	Ari Weintraub, MD
	*Description:*	disseminated purpuric patches, papules and plaques
	*Comments:*	This neonate, born at 38 wks gestation, was delivered by urgent cesarian section for late decelerations. He was noted to have purpuric papules, patches and plaques in the delivery room, and disseminated intravascular coagulation was subsequently discovered on arrival in the nursery intensive care unit.. Bone marrow biopsy revealed myeloid maturation arrest. On day 5, a Grade IV intraventricular hemorrhage was discovered, and the patient ultimately progressed to brainstem herniation and death. Post-mortem examination revealed a diagnosis of congenital acute monoblastic leukemia with leukemic infiltration of the skin and multiple organs.
	*Related Images:*	All related Images Purpura_1_030127 Skin_infiltration_1_030127 Purpura_2_030127 Purpura_3_030127 Purpura_4_030127 Purpura_5_030127 CT_IVH_3_030131 CT_IVH_2_030131 CT_IVH_1_030131

© 2001-2010, DermAtlas	*Image Name:*	Purpura_1_030127	*File Type:*	jpg
	*Diagnosis:*	PURPURA / LEUKEMIA CUTIS / DISSEMINATED INTRAVASCULAR COAGULATION / BLUEBERRY MUFFIN LESIONS	*Category:*	neoplasm, malignant / purpura / neonatal dermatology
	*Body Site:*	total body / trunk chest / abdomen	*Age:*	3 days
	*Contributor:*	Ari Weintraub, MD
	*Description:*	disseminated purpuric patches, papules and plaques
	*Comments:*	This neonate, born at 38 wks gestation, was delivered by urgent cesarian section for late decelerations. He was noted to have purpuric papules, patches and plaques in the delivery room, and disseminated intravascular coagulation was subsequently discovered on arrival in the nursery intensive care unit.. Bone marrow biopsy revealed myeloid maturation arrest. On day 5, a Grade IV intraventricular hemorrhage was discovered, and the patient ultimately progressed to brainstem herniation and death. Post-mortem examination revealed a diagnosis of congenital acute monoblastic leukemia with leukemic infiltration of the skin and multiple organs.
	*Related Images:*	All related Images Skin_infiltration_1_030127 Purpura_2_030127 Purpura_3_030127 Purpura_4_030127 Purpura_5_030127 CT_IVH_3_030131 CT_IVH_2_030131 CT_IVH_1_030131

© 2001-2010, DermAtlas	*Image Name:*	blueberry_11_020910	*File Type:*	jpg
	*Diagnosis:*	CYTOMEGALOVIRUS INFECTION (CMV) / BLUEBERRY MUFFIN LESIONS	*Category:*	infections and infestations
	*Body Site:*	total body / leg	*Age:*	1 days
	*Contributor:*	Christoph U. Lehmann, MD
	*Description:*	disseminated 0.5-1 cm reddish purple macules and papules
	*Comments:*	This term newborn was covered with reddish purple 0.5-1 cm nonblanching macules and papules. On exam he was found to have microcephaly and hepatomegaly. A skin biopsy showed extramedullary hematopoiesis, and head US showed diffuse calcifications. The clinical and laboratory findings were typical of cytomegalovirus or other TORCH infection in the newborn.
	*Related Images:*	All related Images blueberry_2_020910 blueberry_3_020910 blueberry_4_020910 blueberry_5_020910 blueberry_6_020910 blueberry_7_020910 blueberry_8_020910 blueberry_9_020910 blueberry_10_020910