Newborn Lesions and Rashes RECS Learning Module

Objectives

1. Recognize and differentiate between common newborn lesions and/or rashes.
2. Provide anticipatory guidance to parents in the office or over the phone.
3. Explain the natural history of dermal melanosis (Mongolian spots), congenital nevi, transient neonatal pustular melanosis, milia, miliaria, sebaceous gland hyperplasia, acne neonatorum, salmon patches, strawberry hemangiomas, port wine stains, erythema toxicum, and seborrhea.
4. Provide appropriate treatment to any of the above diagnoses if necessary.

Articles/Resources

Birthmarks – AFP (2008)

Newborn Skin – AFP (2008) 

Neonatal Dermatological Challenges - Peds In Review (1997) 

American Academy of Dermatology Basic Dermatology Curriculum  (Infantile hemangiomas and vascular malformations, Newborn Birthmarks, Newborn Rashes) 

Self-quiz:

1. How is erythema toxicum different from transient neonatal pustular melanosis? Describe what is seen on the gram stain for each as well as clinical presentation.
2. What is the typical course of strawberry hemangiomas? When do you recommend treatment?
3. Describe the three types of birthmarks.
4. How can you differentiate between salmon patch and port wine stain based on clinical exam?
5. What is the clinical significance behind midline sacral lesions? 
6. Describe the findings of seborrheic dermatitis. What treatment is available?
7. Describe the findings of atopic dermatitis.  What treatment is available?
8. A patient presents with a congenital melanocytic nevi on initial exam. What should be done now?
9. A patient present for newborn exam and is found to have a hairy tuft in the lumbosacral region, what is your next step?
10. What do you tell anxious parents of an infant with a salmon patch above both eyes?

Created 9/2017