states "Butt" that is less specific than "Gluteus Maximus". 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion. Five hundred twenty-two patients with a mean age of 6. Although the literature suggests clinical consensus regarding some lumbosacral findings (simple dimples or slate gray macules),. Created for people with ongoing healthcare needs but benefits everyone. 4). There was a notable lack of consensus on the appropriate management of certain gluteal cleft deviations and cutaneous vascular marks. 6% had dimples, and 24. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a tuft. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. This is the American ICD-10-CM version of Q36. 419 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It is decorated from the upper side with rhinestones and colorful studs. If the base could not be seen, this would be called a coccygeal pit. A recent meta-analysis of 6,143 studies by Stauffer et al. Two pilonidal cysts that have formed in the gluteal cleft of an adult man. 8 - other international versions of ICD-10 Q82. It is caused by the maldevelopment of the ectodermal, mesodermal, and neuroectodermal tissues. A bifid uvula may be an isolated finding or it may be related to submucous cleft palate. It occurs as a dermal indentation, found along the midline of the neuraxis and often presents alongside infection and neurological deficit. 1). Q82. SPINE: Normal curvature with no defects or dimples. info@flourishpaediatrics. 8 became effective on October 1, 2023. Study sets, textbooks, questions. It is designed by a fashion designer named Kimberly brewer. non-midline lesion, forked gluteal cleft, coccygeal pit, simple. Introduction. What an incredible first year. Gluteal cleft synonyms, Gluteal cleft pronunciation, Gluteal cleft translation, English dictionary definition of Gluteal cleft. Q82. Bandaging over the area to prevent scratching through the night. 0 Bilateral Incomplete cleft lip 749. . Similar. Dec 1, 2018 at 7:24 PM. 7% had lumbosacral and/or coccygeal hairiness. D ISCUSSION. , 2009). 2 is considered exempt from POA reporting. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. from publication: Spinal Sonography in Infants with Cutaneous birth Markers in the Lumbo-Sacral Region – an Important Sign of Occult Spinal Dysrhaphism and Tethered. Lumbosacral and/or coccygeal hairiness could be found in some neonates, together with dimples and deviated or duplicated gluteal creases, which may be insignificant findings in low-risk newborns. Gluteus Maximus are a group of muscles. The cleft lift procedure was described by Dr. Ultrasonography (US) of the spinal cord is performed in newborns with signs of spinal disease (cutaneous lesions of the back, deformities of the spinal column, neurologic disturbances, suspected spinal cord injury due to traumatic birth, and syndromes with associated spinal cord compression). The 2024 edition of ICD-10-CM Q35. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. ICD-10-CM Coding Rules. Stumbling or changes in gait or walking. The gluteal cleft is an anatomical characteristic found in both males and females. Perianal tinea is uncommon. 8 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. ~2-4% of all newborns have a sacral dimple. Sacral Dimple - Causes, Newborn, Adults, Ultrasound & Management. They believe everything is okay after her Neurodevelopmental eval but we monitor her for any changes in behavior as she gets older. ICD 9 Code: 685. Pregnancy was complicated by maternal obesity, mild intermittent asthma, hyperthyroidism, allergic rhinitis, anemia, and sickle cell trait. ings in newborn infants. Here are some of the things I have tried myself at different times as decided by myself and my girlfriend: Sudocrem every night. The vast majority of babies diagnosed with a laryngeal cleft are born with this condition. skin tags. Anusol wipes. Applicable To. The 2024 edition of ICD-10-CM Q36. little man has a duplicated gluteal cleft. Hypothesis: Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. The code is exempt from present on admission (POA) reporting for. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of the 14 infants underwent a lumbar magnetic resonance imaging. View article titled, Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft Open the PDF for in another window Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch , skin manifestations Sacral dimples. Figure 4. Case reports of median tongue clefts in the literature show mostly a combination with a cleft of the median lower. A pilonidal cyst can be extremely painful especially when sitting. Only $35. May 2020; Hospital Pediatrics 10(6)D ISCUSSION. It extends from the upper iliac crests to the lower gluteal fold of the skin. And ulcers in SGD were observed in locations that force both gluteal regions to evert. Results. Applicable To. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. 8% had deviated or duplicated gluteal creases, 15. Q82. Objective. basically, the top of his bum crack makes a y shape…Had our first well check today and scheduled an ultrasound. In 2 cases, there were differences in respondents' choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates <1 month of age: (1) coccygeal hair (P = . Sacral dimple ultrasound – sagittal ultrasound showing normal conus level and no underlying spinal dysraphism (red circle is approximate area of cutaneous sacral dimple)A bifurcated gluteal cleft or bifurcated gluteal fold certainly can be a concern, it puts the child at risk for what’s called tethered cord syndrome. The manage-ment of a “dimple” alone, however, demands greaterThe most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 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. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. com. Background Pilonidal disease classically presents as an abscess or soft tissue swelling which classically occurs in the intergluteal cleft, just above the anus. 8 became effective on October 1, 2023. 1. 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. Myalgia is pain in muscles, and since your Dr. split; divided; a crack or crevice; an indentation between two parts, as of the chin Not to be confused with: clef –. In this situation, differentiation between a septate uterus or a bicornuate uterus is critical. Intertrigo may present as diaper. 1,2 This is of importance because on rare occasions, sacral dimples. 5 cm above the anus) and solitary. The patient is intubated on a sterile draw. Similar. Continue Reading. Birth weight is down by 5. He did great & slept through the whole thing. Germolene. Subjects. Cleft foot is very rare, affecting fewer than 1 in 1,000,000 babies. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. Some consider the term spina bifida occulta. 1 Atypical Sacral Dimple: Not in midline, not in sacrococcygeal region, >5 mm deep, >2. Not Included Here. Tinea cruris is usually due to T. 9% were worse. On the other hand, "sacral dimples" are higher on the lower back, usually on both sides (not in the middle). He had an ultrasound at a week old and it. I’m emailing her doctor, but wondering if anyone else has noticed the same or experienced something like this??There was a notable lack of consensus on the appropriate management of certain gluteal cleft deviations and cutaneous vascular marks. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. has demonstrated the high failure rate of the excisional procedures . ICD-10-CM Coding Rules. generally speaking, scoliosis can cause asymmetry of back and buttocks. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft Kaitlin N. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. Home. If too much fat it can be repaired by liposuction and fat transfer to the gluteal dimple. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 4 GUIDELINE FOR INVESTIGATION OF LUMBOSACRAL. 위 사진처럼 엉덩이 틈새가 방향이 틀어져 (deviated). ) (gestational age 40 weeks, birth weight 3460 g, length 54 cm) The female patient was transferred for spinal sonography at the age of 5 days due to an asymmetrical gluteal crease. 1. The 2024 edition of ICD-10-CM Q84. 2 deletion syndrome include heart defects, poor immune system function, a cleft palate, complications related to low levels of calcium in the blood, and delayed development with behavioral and emotional problems. In 2 cases, there were differences in respondents' choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates <1 month of age: (1) coccygeal hair (P = . 8% had deviated or duplicated gluteal creases, 15. Other names. For many, a split bum crack (also known as intergluteal cleft) can be both painful and embarrassing. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. a birthmark in the area. (1) (2) These defects, which result from abnormal. com. 9 Bilateral Complete cleft lip 749. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. The 2024 edition of ICD-10-CM P54. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. gluteal crease anatomy. This is the American ICD-10-CM version of P13. 8 is a billable diagnosis code used to specify a medical diagnosis of other specified congenital malformations of skin. View article titled, Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft. ”. At 2 week app pediatrician said baby has a y shaped butt crack which could be a indicator of spina bifida or tethered cord. basically, the top of his bum crack. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. The patient’s. Concerning findings warranting further work -up: dimples located superior to natal cleft or more than 2. 8 - other international versions of ICD-10 Q63. 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]. 1 Global variations in incidence have been reported, ranging from 0. basically, the top of his bum crack makes a y shape…newborns at least 35 weeks or greater gestational age under the authors’ care. Study with Quizlet and memorize flashcards containing terms like True or False: a cleft lip occurs when there is a flare of primary and secondary palates to fuse fetal development, True or False: Spina bifida myelomengingocele occurs when there is a protrusion of the spinal cord and meninges, and is the most DIFFICULT spina bifida to treat, Prevent. Some asian groups have as high as 1 in 250 births with cleft, caucasians about. P92. Some authors tried to propose a higher threshold score based on the five-point scoring system, however, it did not increase sensitivity or specificity in the diagnosis of DST. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. Figure 1. 5 should be used on the newborn record - not on the maternal record. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. Urinary and bowel dysfunction are nearly universal. This is the American ICD-10-CM version of Q63. Q35. A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. Collapse all. g. There are many approaches to examining a newborn, many of which are acceptable. 3 The surgeon marks the standing patient. Leopold, MD ; Edward S. My oldest has a “duplicated gluteal cleft” which is also a marker for spina bifida. 6 may differ. 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. The key factors in performing this procedure are to flatten the entire gluteal cleft, remove all active pilonidal disease, and position. little man has a duplicated gluteal cleft. ICD-10-CM Q18. vaginal cyst. 5 - other international versions of ICD-10 Q82. Latest News. 7 - other international versions of ICD-10 Q35. little man has a duplicated gluteal cleft. not so much: Pilonidal "dimples" are properly called "pits", are always in the midline in the gluteal cleft, and are where infection of the pilonidal cyst starts, as dislodged hairs can work themselves into these. Duplicated gluteal crease. Of 1096 infants included in the study, 24. We present an unusual case of verrucous porokera-External characteristics of the parapagus dicephalus. After reviewing the case, we decided to design the inferior flap as a laterally. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. 0):. Y shaped gluteal cleft. 8 is a billable diagnosis code used to specify other congenital malformations of musculoskeletal system. B. Y Gluteal Cleft Baby. Expert solutions. Q35. In most cases, there are no problems at birth. . Should we be worried? Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results. Q79. basically, the top of his bum crack makes a y. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 49. On follow-up 1 month later, a relatively good cosmetic outcome was noted, with a mild standing cone in the upper gluteal cleft. Cleft foot is a rare congenital (meaning your baby was born with it) anomaly in which the foot didn’t develop properly during fetal development. 8%) showed a combination of 2 markers (single dimples in common, deviated or duplicated gluteal furrows in 22, cutaneous masses in. . All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with. 6 became effective on October 1, 2023. Samir Shureih MD. OSD. Treatment options are extensive but most often include incision and drainage with. 5 cm above the anus) and solitary. M26. With thousands of award-winning articles and community groups, you can track your. It is a common skin condition affecting opposing cutaneous or muco-cutaneous surfaces. @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. Typically, pilonidal cysts occur after puberty. 04%). During colonoscopy, evidence of. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Spine ultrasound at 1 day of age showed a cystic mass overlying the conofilar junction at the L3 level measuring 12 × 5 × 5 mm (Fig. 1. 0): 154 Other ear, nose, mouth and throat diagnoses with mcc. Cleft Palate A cleft palate is a birth defect characterized by an opening in the roof of the mouth, caused by a lack of tissue development. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. 6 became effective on October 1, 2023. In cases of isolated bifid uvula, and in cases of submucous cleft palate without hypernasality, no surgical intervention is needed. 6 may differ. Cleft lips and cleft palates happen when tissues of the upper lip and roof of the mouth don't join together properly during fetal development. In the neonatal period the asymmetry of the gluteal folds and odier skin folds is usually not as apparent as it is in diis infant. I'm on this particular Dx right now with a progress note - "Pain in Right Gluteal Region". Fully searchable through Find-A-Code's Comprehensive Search. 0 became effective on October 1, 2023. John Bascom in Eugene, Oregon, developed a variation of the operation called the “Cleft Lift. 5 became effective on October 1, 2023. e. 위 사진처럼 엉덩이 틈새가 방향이 틀어져 (deviated). Had our first well check today and scheduled an ultrasound. Cranial nerves grossly intact. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Case reports of median tongue clefts in the literature show mostly a combination with a cleft of the median lower. , navel, intergluteal crease, penis, lips, and web spaces. Small but visible concentration of coccygeal hair. 8 may differ. 8% had deviated or duplicated gluteal creases, 15. 821A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 7% had lumbosacral and/or coccygeal hairiness. Hey Ladies. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. They may be associated with a tuft of hair. 4. Pilonidal literally means a “nest of hair. 2, 3 It is most commonly encountered in young men in their 20s and 30s, although women can also be affected. The coccygeal region and anus are prepared with iodine or chlorhexidine. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. , aperta (open) if the. Methods. 1 - other international versions of ICD-10 P54. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. 1%, coccygeal skin tags in 0. 1 may differ. This is the American ICD-10-CM version of Q63. 1 - other international versions of ICD-10 P92. 110 749. Asymmetrical buttock creases can suggest hip dysplasia in infants but, like a hip click, an ultrasound or x-ray study will need to be done to determine whether the hips are normal or not. Neonatology 2. , hemangiomas. It is decorated from the upper side with rhinestones and colorful studs. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 86: Hydronephrosis: Coccygeal pit, Mongolian spot: CM ends at L2-3: N/A: N/A: Male/0. Lumbosacral and/or coccygeal hairiness could be found in some neonates, together with dimples and deviated or duplicated gluteal creases, which may be insignificant findings in low-risk newborns. . The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 18 Although it has long been recognized that midline uncomplicated dimples located within the gluteal crease (so-called coccygeal pits) are unlikely to be associated with a tethering lesion, Gomi. kdmahnke13. 27 This study also evaluated 207 neonates with. Our content is doctor approved evidence based, and our community is moderated, lively, and welcoming. Figure 4. Q18. A deviated or duplicated gluteal cleft should raise concern for OSD, whether or not a dimple is present. 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. 2 became effective on October 1, 2023. -5% duplicated gluteal cleft . So my newborn I noticed has a shallow, small dimple right above her butt crack, and she does have a hairy back. 730 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Indications for imaging included isolated dimple in 235 patients (45%), asymmetrically deviated gluteal cleft in 43 (8%), symmetrically deviated (Y-shaped) gluteal cleft in 38 (7%), hemangioma in 28 (5%), other isolated cutaneous stigmata (subcutaneous lipoma, vestigial tail, hairy patch, and dysplastic skin) in 31 (6%), several of the above. 0 - other international versions of ICD-10 Q36. 8. [email protected] uvula. hemangioma, telangiectasiaThe 2024 edition of ICD-10-CM P01. 4,16,18,19 A simple sacral dimple is located in the midline, within the gluteal cleft, has a diameter less than 5 mm, and is less than 2. The estimated overall incidence of pilonidal disease is 26:100,000. Mark: Sounds as though you may have developed a fissure, or something like it. mbort True Blue. Bilateral gluteal tendinitis; Gluteal tendinitis of left hip; Left gluteal tendinitis; Tendinitis of bilateral gluteal tendons. The 2024 edition of ICD-10-CM Q82. Tinea. Pilonidal cysts tend to occur on a person’s lower back, just above the cleft of the buttocks. Had our first well check today and scheduled an ultrasound. BACKGROUND AND INCIDENCE. The urethra is absent: A fibrous cord into the anterior wall of the rectum:. 39. Had our first well check today and scheduled an ultrasound. 1% (in Germany) to as high as 6. Researchers in Israel prospectively examined the role of ultrasound (US) in 254 infants younger than 6. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. 419 - other international versions of ICD-10 M67. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. 5 cm above the anus) and solitary. Answer: Sacaral dimple. 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. Atypical dimples may be located higher up on the back or off to the side. 9 may differ. Duplicate ICD-10-CM Codes. Cute vs. A total of 211 (84. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. The bottom of the dimple may not be visible, and sometimes the dimple is accompanied by changes in skin. This is the American ICD-10-CM version of P01. Pediatric ENT and Head and Neck Surgery 42 years experience. APR with en bloc resection of the posterior wall of the vagina. 8% had deviated or duplicated gluteal creases, 15. 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 in newborns with suspected occult spinal dysraphism. A coccygeal pit was. He presented with a verrucous wart-like midline mass on the superior gluteal cleft that had grown since his last resection. Cute vs. 419 became effective on October 1, 2023. MeSH Code: D010864. She is almost 2 and it has caused her no problems thus far. 6% (in Turkey). This is mostly a problem with HSG preoperative evaluation. Y shaped gluteal waiting for scan. 2011 Mar;32 (3):109-13. NO BIGGIE, unless it's really deep, which you didn't mention. The gluteal muscles can be divided into 2 groups that are responsible for the main movements of the hip joint Hip joint The hip joint is a ball-and-socket joint formed by the head of the femur and the acetabulum of the pelvis. Diagnosis and Referral Pathway for DDH This DDH Diagnosis Pathway is appropriate for metropolitan regions and also for remote regions that lack access to reliable hip ultrasonography. 4 Patient operative positioning. Sacral dimples are relatively common, occurring in 2-4% of newborn infants. They may be associated with a tuft of hair. Newborns who became symptomatic were further evaluated and/or treated with antibiotics. 27 This study also evaluated 207 neonates with cutaneous stigmas and found that none of the infants with a simple midline dimple (meeting none of the criteria listed above) had spinal dysraphism. This is the American ICD-10-CM version of Q84. Gluteal cleft. 89 specifies anus/rectum, M53. C. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. Asymmetric or malformed Gluteal cleft. EA03240815. The 2024 edition of ICD-10-CM Q63. Ems0. I almost thought they just made that up!The presence of phosphatidylglycerol indicates lung maturity. [Wilson, 2016] Should be overlying the sacral bone or towards the gluteal cleft. Verrucous porokeratosis of the gluteal cleft is a . Duplicated gluteal cleft Adapted from Pediatrics in Review. She has had RSV, Brinchiolitis, surgery to detether her Tethered Spinal cord. little man has a duplicated gluteal cleft. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. She previously was diagnosed by her periodontist with erosive lichen planus and was prescribed topical and oral steroids with minimal improvement. ICD-10-CM Coding Rules. If the base could not be seen, this would be called a coccygeal pit. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. rubrum and presents as an asymmetrical erythematous patch with a scaly, annular border in the groin. Oct 16, 2008 #2 you're joking right? ? M. 1 The incidence of spinal. (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. 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. Fig. 2. Gluteal region by ritika. M67. 5 weeks old and is still yellow. Figure 4. About 1:1000 babies: It depends on the ethnic group, the family and pregnancy history, etc.