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
- 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