[
    {
        "id": "osp-2772",
        "type": "article-journal",
        "title": "Miliaria Crystallina with Hypernatremia in a Newborn",
        "author": [
            {
                "family": "Khare",
                "given": "Chetan"
            },
            {
                "family": "Parmar",
                "given": "Vimesh"
            },
            {
                "family": "Mathews",
                "given": "Jerene"
            },
            {
                "family": "Chanchlani",
                "given": "Roshan"
            }
        ],
        "URL": "https://omanscience.com/en/articles/miliaria-crystallina-with-hypernatremia-in-a-newborn",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2024
                ]
            ]
        },
        "container-title": "Oman Medical Journal",
        "DOI": "10.5001/omj.2024.122",
        "publisher": "Oman Medical Specialty Board",
        "ISSN": "1999-768X",
        "abstract": "We encountered a six-day-old exclusively breastfed male newborn born at term (38+3 weeks) with hyperthermia and skin rashes in the emergency department. At birth, he was 3.32 kg, and at presentation, he weighed 2.89 kg (13% weight loss). His axillary temperature was 38°C. He was healthy on physical examination, and his findings were within normal limits. His heart rate was 160 beats/minute, and his breath rate was 52 breaths/minute at admission, with a capillary refill time of less than two seconds. In addition to hyperthermia, the infant had striking rashes over the face. Numerous vesicles containing clear fluids of 1–2 mm size were concentrated over his face without erythema or signs of inflammation. The infant also had acute hypernatremia with dehydration (blood urea of 95 mg/dL, creatinine of 1.1 mg/dL, serum sodium of 156 mg/dL, potassium of 5.1 mg/dL, and chloride of 120 mg/dL) and faltering weight, which were managed conservatively. The lesions disappeared within 24 hours after enteral hydration and appropriate thermal care. No intravenous fluids were administered. He was discharged after two days of hospitalization and correction of electrolyte imbalance (serum sodium of 143 mg/dL) with a weight of 3.10 kg and appropriate enteral hydration with breast milk. No clinical features of sepsis were present, and blood cultures obtained for fever were negative. At the follow-up, the infant was growing well. Informed consent was obtained from the patient's mother."
    }
]