Intended for healthcare professionals

Endgames Spot Diagnosis

Hypopigmentation of newborn skin

BMJ 2016; 352 doi: (Published 16 February 2016) Cite this as: BMJ 2016;352:i860
  1. Jennifer L H Peterson, paediatrics specialist trainee year 21
  1. 1Neonatal Department, John Radcliffe Hospital, Oxford OX3 9DU, UK
  1. Correspondence to: jennifer.peterson{at}

A full term baby girl was initially seen on the neonatal unit with respiratory distress, thought to be transient tachypnoea of the newborn. While on the unit she was noted to have a hypopigmented, whorl-like pattern extending over her right arm, leg, torso, and back. Examination was otherwise normal, with good tone, active movements, and a good suck.

She was diagnosed with the condition discussed below, and by …

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