Erythema Toxicum Neonatorum
“Erythema toxicum neonatorum is a newborn rash that will usually develop within the first few days of life in nearly half of newborns carried to term. It appears as “insect bites” or red spots on the skin with overlying white or yellow papules/pustules.”
The cause is unknown but may be the activation of the baby’s immune system or it could be a sensitivity to the environment. It will usually go away on its own in a few weeks and therefore, no treatment is necessary.
Keratosis pilaris
“This is a normal abnormality of the hair follicles where they grow on top of the skin rather than under. This is dominantly inherited and may appear at any age. It is most commonly seen on the upper outer arms, tops of thighs and lateral facial cheeks but can appear in other areas as small red or white bumps, except palms of hands and soles of feet. There tends to be a hormonal component to the onset of flares. Therefore, it is more prominent in infants (with hormones from mother), puberty, and during pregnancy. Treatments are designed to treat the redness or the bumpiness of the condition; all treatments require a lot of work with very minimal improvement.”
Eczema or atopic dermatitis
“This skin condition is a chronic rash that in infants can appear on the face, extensor surfaces of the arms and/or legs. Most commonly found in children with a family history of atopy (asthma, allergic rhinitis, atopic dermatitis). It usually starts at 3 months of age. It will flare during the winter months and appear as red, scaly patches on cheeks, chin and sometimes body usually sparing the diaper region.”
Triggers for eczema include changes in temperature, excessive exposure to water, decreased humidity when the furnace turns on, and contact with irritants such as wool, fragrance, and nickel. Treatment can include topical steroids, antihistamines, antibiotics, non-steroidal creams and sometimes oral prednisone.
“According to Katie, It is important to keep infants’ skin with atopic dermatitis moisturized with fragrance free creams/lotions, avoid hot baths, use fragrance free laundry detergents, no dryer sheets and no bleach in the laundry.”
It is sometimes helpful to put a humidifier on your furnace or in the baby’s room, avoid carpeting, use plastic mattress covers, avoid cigarette smoke, minimize exposure to animal dander and avoid aerosols.