Skin: New Born

RASHES & SKIN CONDITIONS: In Newborns

When I first set eyes on my newborn, he was red and patchy all over.  Every little spot on him prompted me to bring my son back to the doctor for diagnosis. I soon learned that the rashes in newborns are normal occurrences.  Here is a list of a few just so you can have a clear head as you examine your newborn.  Of course, if you don’t know, seek medical attention.

 Note: All content in this section, including medical opinion and any other health-related information, is for informational purposes only and should not be considered to be a diagnosis or treatment plan for any individual situation. Nor should it be used as the “final word” or “expert” advice. The use of the information contained on this site does not create a doctor-patient relationship, which you should establish with your child’s pediatrician/doctor.

SaigonParents.com does not take any responsibility if the suggested information did or did not work for you or your child.  Please SEEK direct medical advice from a pediatrician/doctor in connection with any questions or issues you may have regarding your own health and/or the health of your child.

 

Type of Rash

Looks Like

Symptoms

Treatment

Milia

*not contagious

·      Small (1mm) white bumps

·      Bumps may be on nose, cheeks, and chin

·      No treatment is necessary, and the bumps do not cause scars.

·      Disappears over the first few weeks of life.

·      Wash your baby’s face with water and mild baby soap daily, avoid lotions or oils, and never pinch or scrub the bumps.

Seborrheic Dermatitis (Cradle Cap)

*not contagious and will not scar

·      Greasy, scaly, crusty, red, bumpy rash mainly on the scalp, and sometimes behind the ears, armpits, and even diaper area

·      Most commonly present at 6 weeks of age and goes away within a few months

·      Not itchy and not bothersome to infants

·      Shampoo the scalp and other infected area with gentle rubbing to remove the scales, using soft cloth, hairbrush, comb, or even fingernails.

·      Continue to wash the areas once the rash is resolved

Infantile Acne

 

·      Red, spotty bumps, usually around nose and cheeks

·      Baby acne develops about 2-3 weeks of age that lasts around 2 weeks and then disappears without scarring over an additional 2 weeks.

·      No treatment.

·      Cause is unknown. Possibly due to sensitivity to oil glands to the maternal hormone level during pregnancy.

Erythema Toxicum

(a.k.a. normal newborn rash)

·      Multiple flat, red areas, about 1 cm in diameter

·      In the center, may be a small raised 2-3 mm white or yellow bump

·      Rash occurs in about half of all newborns.

·      Rash starts with small blisters on a red spot on 2nd or 3rd day of newborn and disappears without treatment in 1-2 weeks.

·      No treatment.

·      Rash can look like other rashes; seek medical attention if you have questions or concerns.

Miliaria

(a.k.a. Prickly Heat)

*not contagious

·      Small, clear blister, usually around the nose

·      Caused by production of sweat in warm environment and plugged sweat glands. 

·      More common when the child is dressed too warmly.

·      Keep cool and remove extra clothing.

·      Seek medical attention if you have questions or concerns.

Candidal Rash (Yeast Infection)

*Fungal or yeast infection by Candid Albicans

*Type of diaper rash

·      Intense red, raised rash with a ring of fine scaly border.

·      Around the main area of rash, may have smaller lesions

·      Type of diaper rash around the newborn’s bottoms and genitalia.

·      Rash tends to form where the skin creases and folds because of the warm, moist environment created by the diaper.

·      Treated by medication but tends to recur if diaper is not changed often when the baby is wet.

·      Change soiled or wet diapers as soon as possible.

·      Topical ointments with zinc oxide also provide a barrier and help with healing of diaper rash.

·      Bathing will help to heal the rash.

Seborrheic Dermatitis

*A type  of diaper rash

 

·      Greasy, scaly, red diaper rash

·      Tends to occur in the creases and folds just as Candida rashes.

·      Rash is not as intensely red or scaly but is moist and greasy in appearance.

·      Not harmful.

·      Treated by medication prescribed by doctor

·      Change soiled or wet diapers as soon as possible.

·      Bathing will help to heal the rash.

Irritant Diaper Rash

 

·      Red, raised rash

·      Sensitivity skin due to urine and feces build-up in the diaper

·      Rash is mainly on bottoms and frontal part of genitalia and not as much in the creases and folds of skin.

·      Change soiled or wet diapers as soon as possible.

·      Do not use fabric softener as it may irritate newborn’s delicate skin.

·      Let baby go without a diaper for a few hours a day to help heal diaper rash.

·      Topical ointments with zinc oxide also provide a barrier and help with healing of diaper rash

·      Extra bathing will help to heal the rash

 

References:

1. Proksch E, Brandner JM, Jensen JM. (2008). The Skin: An Indispensable Barrier. Exp Dermatol:  Department of Dermatology, University Hospitals of Schleswig-Holstein, Kiel, Germany. Retrieved on Sept. 2, 2012: http://www.ncbi.nlm.nih.gov/pubmed/19043850?dopt=Abstract

2. eMedicine, WebMD network: Common Childhood Skin Problems.  Retrieved Aug. 26, 2012: http://children.webmd.com/ss/slideshow-common-childhood-skin-problems

3. eMedincine, WebMD network: Health. Introduction: Skin Rashes in Children. Retrieved on Aug. 27, 2012: http://www.emedicinehealth.com/skin_rashes_in_children/article_em.htm

4. APA: HealthyChildren.Org: Rashes and Skin Conditions: Retrieved on Aug. 2012: http://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Rashes-and-Skin-Conditions.aspx

 
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