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Harlequin Color Change
Aka: Harlequin Color Change
- See Also
- Newborn Skin Exam
- Definitions
- Harlequin Color Change
- Normal newborn Skin Color response to position change with dependent erythema
- Physiology
- Immature Hypothalamus with inconsistent regulation of peripheral vessels
- Epidemiology
- Affects 10% of newborns within the first few weeks of life
- Risk Factors
- Premature Infants
- Head Injury
- Symptoms
- Episodic Skin Color change after a child was lying on their side
- Appears as if half their body (dependent side) is deep red and the opposite pale white
- Episodes last for up to 20 minutes and resolves with movement or crying
- Signs
- Skin erythema on the side of body that is dependent (down)
- Skin blanching on the non-dependent opposite side (up side)
- Management
- No intervention or evaluation is required
- Spontaneously resolves
- References
- Claudius and Behar in Herbert (2020) EM:Rap 20(8): 5-7
- O'Connor (2008) Am Fam Physician 77:47-52 [PubMed]