A girl was born at 36 weeks' gestational age by an uncomplicated vaginal delivery. She had an Apgar score of 10 at both 1 and 5 minutes, a weight of 2010 g, and a height of 42 cm. She was hospitalized for surgical treatment of esophageal atresia with distal tracheoesophageal fistula, and color changes were noticed over the shaved areas on her scalp where intravenous catheters had been placed. Physical examination revealed 3 well-demarcated patches, approximately 3 to 4 cm in diameter, with central brown discoloration on the occipital and left temporal regions of the scalp (Figure 1). The patches were slightly indurated and apparently not painful.
Longo MI, Hernanz JM, Lecona M, Lázaro P. Dark-Red Plaques on the Scalp of a Newborn. Arch Dermatol. 2000;136(12):1559-1564. doi: