Neonatal Sucking Blister and Sucking Pads: Coexisting Simultaneously in a 24 Hour Old Newborn

Abstract

: Neonatal suckling blisters usually present as benign skin erosions involving the distal upper extremities at birth presumably induced by vigorous sucking in utero, whereas sucking pads commonly appear as hyperkeratotic thickening of the lips indicating effective neonatal sucking reflex. These benign neonatal conditions should be differentiated from other serious systemic and dermatological diseases in newborns through their clinical manifestations and self-limited course. Here, we report a 24 hour old male newborn with a sucking blister and sucking pads present at birth coexisting simultaneously, diagnosed based on the presentation and benign course. A high index of clinical suspicion is required to avoid unnecessary investigations and treatment.