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Rash Decisions. Ethan Pettit, D.O. FAAP. Erythema Toxicum. Up to 60% of Term infants Healthy infants Vesicles/ pustues with ring of red around E=E Erythema toxicum = Eosinophils Typically gone by 7 days. Pustular Melanosis. Neonatal HSV?. Infant Nevus. Dilated fetal capillaries
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Rash Decisions Ethan Pettit, D.O. FAAP
Erythema Toxicum • Up to 60% of Term infants • Healthy infants • Vesicles/pustues with ring of red around • E=E • Erythema toxicum=Eosinophils • Typically gone by 7 days
Infant Nevus • Dilated fetal capillaries • 40% of newborns • Flat, dull, pink • Front and back • 95% of front will fade • 50% of back will fade
Nevus Flammeus • Caution to Face distribution • Laser treatment
Hemangiomas • Benign Proliferation of endothelial cells. • 1-3% at birth • 10% Caucasians by 1 year • More females than males • More common in preterm or SGA
Hemangiomas • Proliferation • Up to year • Stabalization • Involution • Typically after 2
Hemangiomas Treatment • Location • Cosmetic vs Dangerous • Large • Ulcerated
Eczema Treatment • Moisture, Moisture, Moisture • Eucerin, Aquaphor, Cedophil, Aveeno, Vanicream • RIGHT out of the bath • Wet to dry wraps
Eczema Treatment • Steroids • Creams: • Hydrocortisone 1%, 2.5% • Triamcinolone • Desonide • Sometimes oral steroids
Eczema Treatment • Secondary infections • Cut nails short • Bleach water baths (1/2 cup per tub)
Eczema Herpeticum Treatment • Treat the HSV, • Watch for bacterial infection as well
seborrhea • Cradle cap • Scaly • Greasy • Usually not itchy
Seborrhea treatment • Dandruff shampoo • Antifungal cream • Low potency steroid cream
Hives treatment • Steroids can help in extreme cases • Antihistamines • Benadryl • Zyrtec • Hydroxizine
Chronic hives • May or may not have an identifiable trigger • Allergy testing • Most resolve within a few years