Epstein pearls

Definition

Epstein pearls are whitish-yellow protein-containing cysts on the gums and hard palate of a newborn baby.

See also milia

Alternative Names

Causes

Epstein pearls occur only in the newborn and are very common, seen in approximately 80% of newborns. On the gums, they sometimes resemble emerging teeth. The condition is harmless although it sometimes worries new mothers.

Symptoms

• Whitish-yellow nodules appearing on the gums or the roof of the mouth in a newborn

Exams and Tests

Examination of the infant confirms that these are Epstein pearls and not teeth present at birth (natal teeth).

Treatment

No treatment is necessary.

Outlook (Prognosis)

Epstein pearls disappear within 1 to 2 weeks of birth.

Possible Complications

There are often no complications.

When to Contact a Medical Professional

If you are concerned about Epstein pearls in your infant, discuss it with your health care provider during a routine well-baby examination.

Stephan M. Common newborn dermatologic conditions. Clin Fam Pract. 2003 Sep; 5(3); 535.

Conlon JD. Skin lesions in the neonate.  Pediatr Clin North Am. 2004; 51(4): 863-88, vii-viii.