Sucking blister in a newborn: atypical localisation

BMJ Case Rep. 2025 Jan 2;18(1):e264271. doi: 10.1136/bcr-2024-264271.

Abstract

A meticulous examination of the oral cavity is an essential part of the initial newborn assessment. The differential diagnosis can involve benign and self-limiting lesions to those lesions compromising quality of life. We present a clinical case of a newborn born with a purple, hard tumour on the hard palate that spontaneously regressed, being thus compatible with the case of a sucking blister. Neonatal sucking blisters typically result from vigorous sucking in utero, most commonly of the hand or forearm; however, more atypical locations may be involved. These benign blisters should be differentiated from other newborn conditions by their presentation, characteristic morphology and self-limiting course. A high index of clinical suspicion is necessary to avoid unnecessary investigations and treatments.

Keywords: Infant health; Neonatal health; Paediatrics; Routine care of the full-time infant.

Publication types

  • Case Reports

MeSH terms

  • Blister* / diagnosis
  • Blister* / etiology
  • Diagnosis, Differential
  • Humans
  • Infant, Newborn
  • Palate, Hard / abnormalities
  • Palate, Hard / pathology
  • Sucking Behavior*