Erythema toxicum

Definition

Erythema toxicum is a benign condition of the newborn characterized by a central whitish to yellowish-white papule surrounded by reddened skin; the papule appears temporarily for a period ranging from hours to days and then disappears (evanesces).

Alternative Names

Causes

Erythema toxicum may appear in 50 percent or more of all normal newborn infants. It usually appears in term infants between the ages of three days and two weeks. Its cause is unknown. The condition may be present in the first few hours of life, generally appears after the first day, and may last for several days. Although the condition is harmless, it can be of great concern to the new parent.

There may be a few or many whitish papules and the associated erythema (redness) may be splotchy and extensive. The lesions are usually on the face and trunk, but they can also appear on other areas of the body including the upper arms, and thighs. Individual lesions are often transient, appearing in one area for several hours and then appearing in a different location.

Symptoms

• small whitish papule surrounded by reddened skin in the newborn infant

Exams and Tests

Examination by your health care provider during a routine well-baby exam is usually sufficient to make the diagnosis. No testing is usually needed.

Treatment

The large red splotches typically disappear without any treatment or changes in skin care.

Outlook (Prognosis)

You can expect full clearing of the lesions within two weeks. This is one of several newborn baby rashes that clear completely by age 4 months (see also milia

Possible Complications

There are no complications.

When to Contact a Medical Professional

Discuss the condition with your health care provider during a routine examination if you are concerned.