Pustular Lesions

Some are self-limited and require no treatment; others may be a result of an infection.

1. Erythema toxicum: This is a characteristic benign condition of the newborn. Lesions occur anywhere with erythematous macules, papules, and pustules. It is self-limited.

2. Transient neonatal pustular melanosis (Fig.n3i31-5): This is a benign self-limited disorder characterized by vesiculopustular lesions that rupture and evolve into hyperpigmented macules.

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Figure 33-5. Transient neonatal pustular melanosis.

3. Neonatal acne: This may be pustular or papular with comedones. It is self-limited and very rarely scars. Topical erythromycin products are safe and may be helpful.

4. Milia: This is a self-limited common occurrence on the cheeks, nose, chin, and forehead. It presents as 1-2-mm white or yellow papules, which frequently are grouped. They usually dissipate without therapy.

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