Newborn with ear and skin anomalies at birth.

A term, appropriately grown, female infant born in good condition by vaginal delivery with normal antenatal course was noted to have an abnormality of the right external ear (figure 1) and two birthmarks (figures 2 and 3) that did not grow in size at follow-up aged 3 months. Figure 1 Showing right ear. Figure 2 Showing chest skin lesion. Figure 3 Showing forearm lesion. 1. What is the likely cause of these birth defects? 1. Chromosomal abnormality 2. Single gene mutation 3. Prenatal environment 4. Multifactorial influences 5. Unknown 2. What are the vascular lesions? 1. Superficial infantile haemangioma (IH) 2. PHACE syndrome 3. Kasabach-Merritt phenomenon 4. Port-wine stain 5. Naevus simplex 3. With regard to the ear anomaly, what are the immediate next steps? 1. Referral to clinicians with knowledge of microtia 2. Behaviour audiometry and ear-specific hearing information 3. Bone-anchored hearing aid 4. CT imaging for external auditory canal and corrective surgery 5. Referral …