Transient neonatal pustular melanosis. This is a benign neonatal dermatosis
that is most common among African- American infants. The original lesion is a
vesiculopustule, which may be present at birth. This small blister quickly
ruptures and leaves a typical collarette of superficial scale processes, such
as neonatal herpes simplex. Tzanck smear of a pustule of erythema toxicum
neonatorum will reveal numerous eosinophils but no multinucleated giant cells
or bacteria. Occasionally, peripheral eosinophilia is also present. The cause
of this condition is not known, and it resolves spontaneously within 10 days.
No treatment is required.
Color Atlas of Pediatric
Samuel Weinberg, Neil S. Prose, Leonard Kristal
Copyright 2008, 1998, 1990, 1975, by the McGraw-Hill Companies, Inc. All rights