Saturday, February 12, 2011

Photographic Potpourri (Part 2)

We are still not sleeping well in the Gonzalez house. Baby Aaron is a grunter. All night long, even when he is sound asleep, he grunts and groans. A few nights ago we moved his bassinet out of our room and that has helped. Such is life with a three week old.

Anyway, here are some more pictures that may be educational for the anxious parents out there.

Brick Dust Urine
Breast feeding infants will often have a red, salmon-color spots in their diapers during the first couple days of life. This is often confused for blood in the urine by parents. When a mother is breast feeding, she is not producing much milk the first few days. This leads to the baby being slightly dehydrated and the baby's urine being concentrated. Concentrated uric acid crystals in the urine react with the diaper to produce the "red" spots. Once the mother's milk comes in (day 3-5 of life), the brick dust urine should go away.

Sebaceous Nevus
This skin finding is rather rare, and, honestly, this is the first time I have ever seen one. It is a type of birthmark that typically is on the head or scalp. The skin is rough and bumpy and usually there is no hair. It may have a velvety appearance and it will typically be in a linear pattern. Sebaceous nevus may get more bumpy and wart-like in response to hormones during puberty. There is also a small chance of developing into a skin cancer as he gets older. Although, this is rare, birthmarks and other unusual skin findings are quite common. Most of the time, your pediatrician is going to recommend watching it over time and not rushing your infant to the plastic surgeons. I like to see what a lesion is going to do before pursuing any definitive treatment. Is it going to fade away? Is it going to grow? Is it going to cause a problem (get scraped and bleed, interfere with vision if around the eye, etc)? With Aaron, we are going to do just that, watch it and see what happens. There may be a point were we go see a dermatologist or elect to have it removed, but right now there is no rush.

Infant Acne
Babies will often develop pimples on the face between 2-4 weeks old. This is due to maternal hormones that the baby was exposed to when inside mom. Babies that are breast feeding are also exposed to mom's hormones through the breast milk. There is no treatment for this and it does not cause any scaring or problems. Unfortunately, it usually shows up right when you want to get some baby pictures made.


  1. These posts are great. It takes a lot of the anxiety away to see that everyone goes through the same types of things. Thank you! From the mom of a 13 week old.

  2. Does sebaceous nevus ever present as a small patch about the diameter of a pencil eraser? My 4mos daughter has a birthmark such as I've just described that is similar in texture to the picture you have on your site (which I found while Googling "birthmark + head + wort" because it looked like a flat wort when she was first born).

    She also has craniosynostosis, failure to thrive, and a benign heart murmer; I'm trying to figure out if connecting random dots or if there's a bigger issue somewhere. I am talking to physicians in person, but came across your blog while doing my own research.

  3. Sebaceous nevi can be of varying size. By no means am I an expert on them, but I have been doing some reading. They can be associated with other issues such as central nervous system abnormalities (mental retardation, seizures, etc), bone abnormalities, and eye problems. I have not read specifically about craniosynostosis being associated with sebaceous nevi, but I wonder if that would fall under "bone abnormalities". From what I can gather most people with a sebaceous nevus are perfectly normal and the other abnormalities are usually seen in children with a large sebaceous nevus or in children who have multiple nevi.

    You may want to search under "Epidermal nevus syndrome (Jadassohn nevus phakomatosis)" for information about the abnormalities that can be associated with sebaceous nevi.

  4. Thanks. I forgot to subscribe to comments, but I saw where you'd posted the link to this post on your facebook page and came back to check today. I'll look up the key terms you suggested. Keep the blogging. There are lots of us anxious parents out there. :)