Abstract
Blueberry Muffin Syndrome (BMS) is a rare condition in newborns characterized by distinctive skin lesions often associated with transient extramedullary hematopoiesis. We present a case of a newborn with BMS focusing on the diagnostic challenges, especially in distinguishing it from acute leukemia. Despite extensive investigations, no specific etiology was found. The skin lesions resolved spontaneously. This case highlights the importance of a multidisciplinary approach in diagnosing BMS and underscores the need for thorough evaluation to exclude severe underlying conditions.