text: Blueberry Muffin Babies - Newborns - RR School Of Nursing
  Figure 2.93. Another infant with cytomegalovirus infection showing the typical "blueberry muffin" appearance and jaundice soon after birth. Note that the head size is normal. Since most infections are asymptomatic, early diagnosis is only made in the full-blown syndrome manifested by the appearance of jaundice within the first 24 hours of life, hepatosplenomegaly, abdominal distention, anemia, thrombo-cytopenia, respiratory distress and neurologic changes.
  Figure 2.94. Close-up of the face of the same infant as in Figure 2.93 showing the typical "blueberry muffin" appearance.
  Figure 2.95. This infant presented with areas of skin involvement on the extremities only. The lesions were asymmetrical in that they were present on the right leg and left arm. Vasculitis, a less common manifestation of skin involvement by cytomegalovirus infection, was confirmed by skin biopsy.