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DermAtlas: FACE - erythema toxicum neonatorum
© 2001-2010, DermAtlas
Image Name: Erythema_Toxicum_Neonatorum_1_031207   File Type: jpg
Diagnosis: ERYTHEMA TOXICUM NEONATORUM   Category: vesiculobullous eruptions /
reactive erythema /
neonatal dermatology
Body Site: face / chin   Age: 2 days
Contributor: Douglas Hoffman, MD    
Description: widely scattered red macules with central 1-2 mm papules and pustules
Comments: This healthy newborn developed a diffuse transient eruption comprised of red macules with central pinpoint whitish-yellow papules and pustules on the second day of life. Lesions quicly migrated and disappeared 2 days later.

DermAtlas: CHEST - erythema toxicum neonatorum
© 2001-2010, DermAtlas
Image Name: Erythema_Neonatarum_1_031011   File Type: jpg
Diagnosis: ERYTHEMA TOXICUM NEONATORUM   Category: neonatal dermatology /
vesiculobullous eruptions
Body Site: chest / abdomen   Age: 20 days
Contributor: Alper Alkan    
Description: widespread red papules on an urticarial base
Comments: This healthy infant developed an asymtomatic generalized eruption which lasted for several days and disappeared without treatment. Although the lesions were generalized, they were most dense on the trunk.

DermAtlas: THIGH - extrophy of bladder
© 2001-2010, DermAtlas
Image Name: erythematoxicum_1_011230   File Type: jpg
Diagnosis: EXTROPHY OF BLADDER /
ERYTHEMA TOXICUM NEONATORUM
  Category: vesiculobullous eruptions /
neonatal dermatology /
congenital malformation
Body Site: thigh / abdomen
scrotum / genital
leg / umbilicus (navel)
  Age: 4 days
Contributor: Bernard Cohen, MD    
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.
Related Images: All related Images  erythematoxicum_2_011230  erythematoxicum_3_011230 

DermAtlas: CHEST - erythema toxicum neonatorum
© 2001-2010, DermAtlas
Image Name: erythematoxicum_3_011230   File Type: jpg
Diagnosis: ERYTHEMA TOXICUM NEONATORUM   Category: vesiculobullous eruptions /
neonatal dermatology
Body Site: chest / abdomen
arm
  Age: 4 days
Contributor: Bernard Cohen, MD    
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.
Related Images: All related Images  erythematoxicum_2_011230  erythematoxicum_1_011230 

DermAtlas: CHEST - erythema toxicum neonatorum
© 2001-2010, DermAtlas
Image Name: erythematoxicum_2_011230   File Type: jpg
Diagnosis: ERYTHEMA TOXICUM NEONATORUM   Category: vesiculobullous eruptions /
neonatal dermatology
Body Site: chest / abdomen
arm
  Age: 4 days
Contributor: Bernard Cohen, MD    
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.
Related Images: All related Images  erythematoxicum_3_011230  erythematoxicum_1_011230 

DermAtlas: CHEEK - erythema toxicum neonatorum
© 2001-2010, DermAtlas
Image Name: erythematoxicum_1_011107   File Type: jpg
Diagnosis: ERYTHEMA TOXICUM NEONATORUM   Category: neonatal dermatology /
vesiculobullous eruptions
Body Site: cheek / face   Age: 2 days
Contributor: Patrice Plantin, MD    
Description: Erythema toxicum neonatorum is a benign self limited eruption that may be present at birth, more typically it occurs 24 to 48 hours after birth. 30 to 70% of newborn are affected. Lesions are firm, yellow or white pustules on a red and swollen base. Lesions may be found in face, trunk and limbs. Palms and soles are not involved. Erythema toxicum lasts about five to seven days as crops. Blood eosinophilia is seen in 20% of cases. Erythema toxicum does not usually recur. The etiology of erythema toxicum remains mysterious.
Comments: Erythema toxicum neonatorum is a benign self limted eruption that may be present at birth, but usually occurs 24 to 48 hours after birth. 30 to 70 percent of newborn are affected. Lesions are firm, yellow or white papules and pustules on a red urticarial edematous base. Lesions may be found on the face, trunk and limbs. Palms and soles are not usually involved. Lesions, which rapidly change from hour to hour, recur in crops for 2 to 7 days. Infants appear well without symptoms. Blood eosinophilia is seen in 20 percent of cases, and the cause is unknown. Erythema toxicum must be distinguished from more serious vesiculopustular eruptions of the newborn including staphylococcal pustulosis, herpes simplex, varicella, candidiasis, and listeriosis.

DermAtlas: CHEST - erythema toxicum neonatorum
© 2001-2010, DermAtlas
Image Name: scan75   File Type: jpg
Diagnosis: ERYTHEMA TOXICUM NEONATORUM   Category: neonatal dermatology /
reactive erythema
Body Site: chest / abdomen   Age: 2 days
Contributor: Bernard Cohen, MD    
Description: urticarial plaques many with central yellow papules or pustules
Comments: Rapidly changing urticarial plaques with central papules and pustules appeared on the trunk of this otherwise healthy 2 day old. Lesions changed from hour to hour and disappeared completely 36 hours later.

                             
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Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Jan-18-2010
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