Transient Lesions of the Newborn

Question 1

Erythema Toxicum Neonatorum (Etox)

Answer 1

seen in full term infants, presents as red macules/papules/pustules/wheals anywhere except palms/soles, usually presents at 24-48 HOURS post partum—but can occur anytime within 2 weeks. it is self limited

Question 2

Transient Neonatal Pustular Melanosis

Answer 2

typically seen in young, black newborn males. presents at birth or shortly thereafter. presents in 3 stages –> pustules, scale, and hyperpigmentation. it is self limited

Question 3

Congenital Milia

Answer 3

any inclusion cysts. it is self limited

Question 4

Bohn’s nodules/Epstein pearls

Answer 4

epstein - palatal raphe, Bohn - alveolar ridge

it is self limited

Question 5

Eosinophilic pustulosis/folliculitis

Answer 5

pustules and erythema over scalp and face. has a waxing-waning course. usually presents at birth or days to weeks of age

other subtypes: HIV, neonatal, and folliculitis seen in Japanese men

Question 6

Miliaria Crystallina

Answer 6

upper epidermis (s. corneum), related to heat, clear colored vesicles. self limited

Question 7

Miliaria Rubra

Answer 7

lower epidermis, related to heat, erythematous papules. self-limited