Babies with congenital hip dislocation can also have asymmetrical gluteal folds. Code. BACKGROUND AND INCIDENCE. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. 7% had lumbosacral and/or coccygeal hairiness. 32 No. Applicable To. Sacral epidermal anomalies include dimples, tracts, lipomas, hemangiomas, and tufts of hair and may be associated with a neural tube defect, such as spina bifida. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of. For other babies, only part of the palate is open. Bust get. 5 became effective on October 1, 2023. I made the mistake of googling, and it says it could be a sign of spina bifida or tethered spine. For some babies, both the front and back parts of the palate are open. The 2024 edition of ICD-10-CM Q82. kdmahnke13. Skin. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion of the spinal cord or meninges. We found deviated or duplicated gluteal creases. ICD-10-CM Coding Rules. duplicated gluteal cleft, or hemangioma (3%), a simple dimple in. There was no perforation in the left gluteal cleft. Approximate Synonyms. This is the American ICD-10-CM version of M26. Objective. A duplicated gluteal cleft associated with occult spinal dysraphism. At her check up her doctor noticed that she has a y shaped gluteal crease. A duplicated gluteal cleft associated with occult spinal dysraphism. A laryngeal cleft (or laryngotracheal cleft) is an abnormal opening between the larynx and the esophagus through which food and liquid can pass through the larynx into the lungs. 9 may differ. 5, 100, 24, 90/64, Page 6 and 7: • Which ones are benign? • When; Page 8 and 9: Adapted from Pediatrics in Review ;Of 1096 infants included in the study, 24. It has over 40,000 names organized gluteal cleft newborn. Price adjustmentA 1-day-old girl is seen for routine care in the newborn nursery. The 2024 edition of ICD-10-CM Q84. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. This is the American ICD-10-CM version of P01. This is the American ICD-10-CM version of P92. 8 is a billable diagnosis code used to specify a medical diagnosis of other specified congenital malformations of skin. Had our first well check today and scheduled an ultrasound. 8% had deviated or duplicated gluteal creases, 15. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. 1 Global variations in incidence have been reported, ranging from 0. DX? dmaec True Blue. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion of the spinal cord or meninges. R. Read More. For patients with certain risk factors and a normal examination the Guidelines of the American Academy of Pediatrics state, “…imaging with an. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. This is the American ICD-10-CM version of Q36. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. ”. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. John Bascom in 1987. mbort True Blue. 0 became effective on October 1, 2023. Non-duplicate identified articles were independently reviewed by two authors (J. Concerning findings warranting further work -up: dimples located superior to natal cleft or more than 2. The patient subsequently underwent resection of the mass with bilateral gluteal rotational flaps. Any dimple lying superior to the gluteal cleft, outside the midline, and with a diameter greater than 5 mm commonly accompanies a spinal anomaly and warrants radiological investigation such as an MRI. The right gluteal crease is lower than the left. Because most studies on gluteal cleft shaving have used an arbitrary manner and method, effective frequency and extent of shaving have not been systematically studied. When an infant is born with skin lesions or abnormalities of the lower back or gluteal cleft, the possibility of an association with spinal malformations, such as tethered cord syndrome, often prompts pediatricians to recommend spinal imaging. The 2024 edition of ICD-10-CM Q35. Flashcards. I’m worried sick 😩😭. Results: Majority (80%) of infants had normal spinal US -Of the 20% of infants with abnormal spinal US that underwent spinal MRI only 5% had an abnormal spinal MRI -Neurosurgical consultation was documented for 13 infants with either abnormal US or MRI, of which only 2 required neurosurgical management for a tethered A dimple above the gluteal crease (the crease in the buttocks) Long hair (longer than 1 inch) growing on the back over the spine. 99/year. The coccygeal region and anus are prepared with iodine or chlorhexidine. Business, Economics, and Finance. This persisted at 6-month follow up imaging. Gluteal Region – Earth's Lab. Access records and results, view and pay bills, request prescription renewals, and request appointments. 0 may differ. Bilious vomiting can indicate bowel obstruction, with the greatest concern being malrotation/volvulus Assess for distension. Anatomical structures that exit the pelvis deep to the inguinal ligament are, from lateral to medial, the femoral nerve, the external iliac to the femoral artery, and the external iliac to femoral vein. F. The gluteal cleft of the left twin (black arrowhead) and the three lower. The rash presents as bright red, well-defined symmetrical plaques which are typically without the silvery white scale which may be seen at other sites, such as the scalp, trunk, periumbilical area, and extensor surfaces. Open neural tube defects are lesions in which brain, spinal. @lblake907, in some cases it’s a sacral dimple and can be a sign of spina bifida occulta, but if the spine is closed then it can be (in very rare occurrences) a sign of a tethered cord. In very mild cases, such as isolated. Histology showed a benign intradermal naevus. The 2024 edition of ICD-10-CM Q36. long trunk, Y-shaped gluteal cleft, anteriorly displaced anus, clinodactyly, deep furrow and increased space between first and second toes, central and peripheral hypotonia, complete agenesis. gluteal cleft newborn Our baby’s name creator can help you find a new and unique name for your child. Lesions at these sites may lose their classic morphology, presenting instead as erythematous lesions with poorly defined borders and lichenification (Wagner et al. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 156 Other ear, nose, mouth and throat. 5 cm above the anus) and solitary. Subjects. They communicate between the surface of the skin and deeper structures and may occur anywhere along the craniospinal axis. my full-term newborn boy has an asymmetric 'y' shaped crease at the top of his intergluteal cleft. It is a visible border separating ass into two parts. Ultrasonography of the lumbosacral spine gener-A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. It causes a deformity of the lip, nose and upper jaw. The authors gathered clinical illustrations of gluteal cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus. The gluteal cleft and the gluteal fold both occur normally in humans. 5 became effective on October 1, 2023. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. If the base could not be seen, this would be called a coccygeal pit. info@flourishpaediatrics. M26. Specialty: General Surgery. 5 cm above the anus) and solitary. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. there is a duplicated gluteal cleft; there is more with one dimple; the dimple liars outside the sacrococcygeal region; there are any neurological disease remember; The above may becoming associated with an underlying neurological problem, for example backbone dysraphism. In this situation, differentiation between a septate uterus or a bicornuate uterus is critical. MeSH Code: D010864. Remove the tibia and fibula. 5cms from anal verge o Vascular lesion e. little man has a duplicated gluteal cleft. Our content is doctor approved and evidence based, and our community is moderated, lively, and welcoming. 8 became effective on October 1, 2023. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. ), and relevant articles were selected by mutual agreement. This is the American ICD-10-CM version of Q82. zoemcr. Erythematous plaques in axillae - a report of two cases In its general usage, the term pilonidal cyst refers to an area located at the superior aspect of the gluteal cleft in the sacrococcygeal area as. 8. P01. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This means that the butt crack will appear off-center. k. Not Included Here. This is the American ICD-10-CM version of P13. #asymmetricskinfolds #anatomynote #glutealskinfolds #skinfolds #shorts #youtubeshorts☠️ DONT CLICK THIS: support our Odysee chan. . 9% were worse. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. basically, the top of his bum crack makes a y shape when. An inconspicious examination does not need a further imaging, but suspicious results of sonography need an MR imaging dependent of clinical conditions. Applicable To. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. Youssef, MD ; Seth W. A total of 34 (24%) patients had an abnormal spinal US; 15 (44%. Small but visible concentration of coccygeal hair. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of P83 - other international versions of ICD-10 P83 may differ. Figure 4. 8%. 8. basically, the top of his bum crack makes a y shape…Q82. 1% (in Germany) to as high as 6. 5 cm above the anus) and. Q63. Linear lesions in the intergluteal cleft are caused by moisture with or without a friction component and should be classified as intertriginous (between skin folds) dermatitis (inflammation of the skin). The 2022 edition of ICD-10-CM Q82. The superior tip of the intergluteal cleft. 1 became effective on October 1, 2023. They are not harmful to one’s health and do not necessitate. Gluteal cleft. Subcutaneous lipomas. IP is usually found in the groins, vulva, axillae, submammary folds, gluteal cleft, navel, intergluteal crease, penis, lips, and web spaces. Codes mentioned in articles are linked to Code Information pages. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. 2,4–6 Variations between practicing clinicians with respect to the management of. Distal portions of all three major structures enter what is known as the femoral triangle, found within the anterior proximal portion of the femoral region. 03 9696 GROW or 9696 4769. basically, the top of his bum crack makes a y shape…Red Flags! •Midline (or near-midline) tuft of hair (hypertrichosis) •Midline (or near-midline) capillary hemangioma •Midline (or near-midline) subcutaneous mass (lipoma) •Caudal appendage •Deviated or duplicated gluteal cleft •Expression of fluid from dimple •Dimple located more caudally •Inability to see base •Swelling/erythema around. 5 - other international versions of ICD-10 P01. 02) and (2) deviated gluteal crease (P = . Synonyms: aberrant forearm flexor muscle, aberrant. Mild distension is normal in the first 24 h, as long as the abdomen is soft, the baby hasThe gluteal cleft was asymmetrical. A lump of the lower back. 6% had dimples, and 24. The 2024 edition of ICD-10-CM Q35. Methods. 5 cm above the anus) and solitary. 120 Q36. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. This is the American ICD-10-CM version of Q63. Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. Upgrade to remove ads. Duplicate ICD-10-CM Codes. 14, 15 Therefore, the authors believe that excluding the infants aged <4 months would contribute to more reliability and consistency. Visited with specialists to better understand her asymmetrical duplicated gluteal cleft, lumbar hemangioma, and then a CT and swallow study to help us figure out her NeuroEndocrine Cell Hypoplasia of Infancy. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. A newborn boy was noted to have a high-lying pit above the natal cleft with surrounding hair (fig 1). Newborn: Duplicated aorta and internal iliac arteries join as a common vessel: Unilateral hydroureteronephrosis, the other side; cystic dysplastic. A pilonidal cyst (also called pilonidal cyst disease, intergluteal pilonidal disease or pilonidal sinus) is a skin condition that happens in the crease of the buttocks — anywhere from the tailbone to the anus. Pediatr Rev. 6 Therefore, we could consider these patients low risk for having OSD. 6% had dimples, and 24. ~2-4% of all newborns have a sacral dimple. Q36. It is designed by a fashion designer named Kimberly brewer. basically, the top of his bum crack makes a y shape…The sacrotuberous ligament (STL) is a stabiliser of the sacroiliac joint and connects the bony pelvis to the vertebral column [1]. hemangioma, telangiectasia The 2024 edition of ICD-10-CM P01. Q79. In addition, in a study by Lode HM et al. 01 [convert to ICD-9-CM] Gluteal tendinitis, right hip. This is the American ICD-10-CM version of Q63. A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch ,. 8%. basically, the top of his bum crack makes a y shape…The roof of the mouth (palate) is formed between the sixth and ninth weeks of pregnancy. (1)(2) These defects, which result from abnormal fusion of the neural tube during embryonic development, are placed into two broad categories: open and closed. 2 may differ. Intertrigo may present as diaper. Sacral dimples can be “typical” or “atypical”. 0 Central cleft lip 749. Medical problems commonly associated with 22q11. Objective. About 3 to 8 percent of the population has a sacral dimple. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. Of 1096 infants included in the study, 24. Prevention. Q79. This is the American ICD-10-CM version of Q82. 1 - other international versions of ICD-10 P54. This is caused by an abnormal. I’ve noticed my baby has a Y shaped cleft on her bottom. non-midline lesion, forked gluteal cleft, coccygeal pit. Applicable To. Dimples that may require further investigation are those that are large. Home. The first is due to the buttocks getting the least. May 6, 2021 at 5:44 AM. What an incredible first year. 1, 7, 8 Radiographic evaluations in infants under 4 months of age are also reported to be unreliable. Anusol wipes. [2–4] These syndromes are all associated with median lip and/or mandibular clefts and digital variations. • Gluteal cleft anomalies other than dimples also have a weak association with milder forms of OSD and warrant further evaluation. skin tags or duplicated gluteal clefts . little man has a duplicated gluteal cleft. Good. Germolene. Attempted resection of a bicornuate uterus "septum". 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. com. [Wilson, 2016] Should be overlying the sacral bone or towards the gluteal cleft. Ultrasound is valuable for imaging of infants and young children and for. Laceration of left buttock; Left buttock laceration; Stab wound of left buttock; ICD-10-CM S31. The 2024 edition of ICD-10-CM Q82. Most sacral dimples are harmless and don’t need treatment. 2 became effective on October 1, 2023. Duplicated gluteal cleft Results of a study by Kriss and Desai showed that the incidence of cutaneous stigmas in a healthy neonate population was 4. The skin is infiltrated with lidocaine. 89 specifies anus/rectum, M53. g. Then, the surgical wound is closed by rotating other tissue to cover the area. Figure 4. A. They have no associated abnormalities (hairs, skin markings, etc. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of the 14 infants underwent a lumbar magnetic resonance imaging. A decision-analytic model was constructed to project the cost and health outcomes of magnetic resonance imaging (MRI), ultrasound (US), plain radiographs, and no imaging. • Subcutaneous mass or lipoma (sometimes seen as deviation of gluteal fold) • Hairy patch • Dermal sinus ( Sinuses opening onto skin surface, located above gluteal cleft and have a cephalically oriented tract) • Atypical Dimples : o Deep (>5mm) o >2. 1 became effective on October 1, 2023. Myalgia is pain in muscles, and since your Dr. Had our first well check today and scheduled an ultrasound. Typically, pilonidal cysts occur after puberty. Mark: Sounds as though you may have developed a fissure, or something like it. A. Posted 18-03-18. The 2024 edition of ICD-10-CM Q63. We have been told our 6 week old son has a forked gluteal (naval) cleft or I y-shaped crease at the top of his button crack. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The cleft lift procedure was described by Dr. A 71-year-old woman with no relevant medical history presented with recurrent painful erosions on the gingivae and gluteal cleft of 1 year’s duration. These cysts are usually caused by a skin infection and they often. little man has a duplicated gluteal cleft. A bifid uvula may be an isolated finding or it may be related to submucous cleft palate. Q92. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. Variation in Management of Cutaneous Lumbosacral Findings in Newborns. 8% of the subjects. Patient 3 (J. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. 96. Gluteal cleft synonyms, Gluteal cleft pronunciation, Gluteal cleft translation, English dictionary definition of Gluteal cleft. I think getting the ultrasound is a great idea because we do want to see if there is an issue with the lower part of the spinal cord. Q82. Duplicated gluteal cleft Adapted from Pediatrics in Review. 7%, slate-grey patches in 44. Congenital dermal sinuses represent cutaneous depressions or tracts that are lined by stratified squamous epithelium. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, [1] so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. This baby’s gluteal creases are uneven (note yellow lines). 8 may differ. Careful inspection of the natal cleft for dimples and symmetry may reveal a dimple below the top of the gluteal crease in 2% to 4% of normal newborns. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. This area is the groove between the buttocks that. Pregnancy was complicated by maternal obesity, mild intermittent asthma, hyperthyroidism, allergic rhinitis, anemia, and sickle cell trait. The distinctive anatomic and radiologic features are discussed. The patient reported severe itching, stinging sensation, and intermittent rash in the gluteal cleft, perineum, and perianal region, with onset of symptoms 7 months previously. 9 may differ. EA03240815. b Lateral overview showing oblique positioning of the heads. Coccygeal pits are distinctly different from dermal sinuses and may occur at rates as high as 4% in the general population. 1 The underlying cause of pilonidal disease is. The gluteal cleft refers to the separation of the buttocks. Applicable To. Cleft foot is very rare, affecting fewer than 1 in 1,000,000 babies. 6 - Congenital sacral dimple. The cystic mass extended into a dilation of the central canal due to. from anal verge, multiple dimples, Skin lesions and Associations (duplicate gluteal cleft, asymmetrical intergluteal crease, skin tag, tail like appendages, hairy tuft, pigmentation, Anomalies of the gluteal crease had the lowest proportion of agreement. 4). Epigastric mass; Epigastric swelling, mass. Keep the skin of the diaper area clean and dry. D. 1,2 This is of importance because on rare occasions, sacral dimples. The code is exempt from present on admission (POA) reporting for. 1%, coccygeal skin tags in 0. 6% had dimples, and 24. Combinations of deviated or duplicated gluteal crease + dimple, deviated or duplicated crease + hair, and dimple + hair were common groupings. 438 Clarendon Street, South Melbourne, VIC 3205. The STL. Single, deviated gluteal crease with dimple. Children with sacral agenesis have characteristically flattened buttocks with a shallow gluteal cleft, a palpably absent coccyx, and distal leg wasting described as an. little man has a duplicated gluteal cleft. Had our first well check today and a scheduled ultrasound. Best answers. Q84. Sign up. 100 749. 1 Global variations in incidence have been reported, ranging from 0. This is the American ICD-10-CM version of Q84. Cute vs. , four cases of asymmetrical gluteal fold, two cases of dermal sinus, one case of hairy tuft, one. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. 34 may differ. The current prospective study from Tel Aviv assessed 254 infants less than 6 months of age who were referred for neurosurgical consultation; 154 had these isolated, low-risk skin. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. Pressure injuries, however, are ischemic injuries to the skin and underlying soft tissue that can result in full-thickness tissue damage. generally speaking, scoliosis can cause asymmetry of back and buttocks. The gluteal cleft is an anatomical characteristic found in both males and females. A pilonidal cyst, also referred to as a pilonidal abscess, pilonidal sinus or sacrococcygeal fistula, is a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and skin debris. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. 1 may differ. I noticed that my LO’s buttcrack slightly curves at the top. 6%, dimples in 16%, increased lumbosacral/coccygeal hair in 24. Findings present in 11% of healthy newborns are unlikely to be useful markers for a rare condition like OSD (estimated incidence 0. My newborn is 3. A cleft palate happens if the tissue that makes up the roof of the mouth does not join together completely during pregnancy. ASSESSMENT/PLAN: 2 day old with normal growth and development. 5 may differ. 13 Q36. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. sebaceous cyst. 1%) had normalized, 16% were confirmed as type IIa, and 0. The two major types of spinal dysraphism are based on the appearance, i. Had our first well check today and a scheduled ultrasound. SGD patients developed with ulcer were all am-bulatory unlike the pressure sore. Of 1096 infants included in the study, 24. Now I’m freaking myself out because everything. 8% had deviated or duplicated gluteal creases, 15. The number and severity of symptoms associated with 22q11. 4 GUIDELINE FOR INVESTIGATION OF LUMBOSACRAL. Posted 06-05-18. The 2024 edition of ICD-10-CM Q37. Although fistulas above the gluteal cleft may be associated with spinal dysraphism, coccygeal pits are benign and do not need imaging. It’s usually just above the crease between the buttocks. Skin stigmata were classified into seven types, dimple, deformed gluteal cleft, hair, subcutaneous mass, appendage, discoloration, and protruding bone, and included 1056 isolated and 199 complex ones. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. 39. Q18. Results: Majority (80%) of infants had normal spinal US -Of the 20% of infants with abnormal spinal US that underwent spinal MRI only. Treatment options are extensive but most often include incision and drainage with. It is caused by the maldevelopment of the ectodermal, mesodermal, and neuroectodermal tissues. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. A step-by-step drawing of the surgical process. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. • Subcutaneous mass or lipoma (sometimes seen as deviation of gluteal fold) • Hairy patch • Dermal sinus ( Sinuses opening onto skin surface, located above gluteal cleft and have a cephalically oriented tract) • Atypical Dimples : o Deep (>5mm) o >2. Newborns who became symptomatic were further evaluated and/or treated with antibiotics. The 2024 edition of ICD-10-CM P92. 730 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Bandaging over the area to prevent scratching through the night. In cases of isolated bifid uvula, and in cases of submucous cleft palate without hypernasality, no surgical intervention is needed. P. Open the PDF for in another window. If the base could not be seen, this would be called a coccygeal pit. Figure 4. Fully searchable through Find-A-Code's Comprehensive Search. DX? dmaec True Blue. Telephone. They did an ultrasound of his booty & spine when he was like a week old. Findings present in 11% of healthy newborns are unlikely to be useful markers for a rare condition like OSD (estimated incidence 0. , navel, intergluteal crease, penis, lips, and web spaces. Pediatric ENT and Head and Neck Surgery 42 years experience. Expand all. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. Bodily secretions.