DermAtlas: Dermatology Image erythematoxicum_3_011230 (erythema toxicum neonatorum

Dermatology - CHEST: erythema toxicum neonatorum

Image Name:

erythematoxicum_3_011230

File Type:

jpg

Diagnosis:

ERYTHEMA TOXICUM NEONATORUM

Category:

vesiculobullous eruptions /
neonatal dermatology

Morphology:

vesiculobullous (blister, pustule) / papulosquamous (bump, scale)

Organization:

confluent

Pattern:

intertrigenous (creases)

Color:

red

Body Site:

chest / abdomen
arm

Age:

4 days

Gender:

Male

Image Year:

2001

Contributor:

Bernard Cohen, MD

First Published:

December 30, 2001

Description:

diffuse white papules and pustules on a red base with confluent erythema in some areas particularly skin creases

Comments:

A full term boy with bladder extrophy develolped a diffuse red urticarial papular eruption on the trunk that spread to the proximal extremities on day 2 of life. On day 3 of life 1-2 mm white papules and pustules formed at the center of the red papules that were most dense in skin creases and the diaper area. Smears of the contents of the pustules showed cellular debris, eosinophils and neutrophils, but no organisms. Cultures for fungus and bacteria from the pustules were also negative. Two days later the erythema was receding and pustules were dry and desquamating. Pediatric urology repaired the bladder extrophy without complication.

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