Erythema toxicum neonatorum

Background

• Benign, self-limited (1wk) rash that occurs in 50% of newborns
• Thought to be problem with sebaceous glands within hair follicles

Clinical Features

Erythema toxicum

• Erythematous macules develop on face, trunk, extremities
• Spares palms and soles
• Most common with full term infants, with incidence declining with decreasing gestational age

Differential Diagnosis

Neonatal Rashes

• Atopic dermatitis
• Candidiasis
• Diaper dermatitis
• Erythema toxicum neonatorum
• Neonatal acne
• Psoriasis
• Seborrheic dermatitis
• Tinea capitis
• Impetigo
• Contact dermatitis
• Perianal streptococcal dermatitis
• Milia
• Miliaria
• Mongolian spots
• Omphalitis
• Pustular melanosis
• Sucking blisters

Evaluation

• Normally clinical

Management

• No treatment necessary

Disposition

• Outpatient

See Also

• Neonatal Rashes