A 1 week old infant developed this pustular eruption. Three days after the patient began a topical antifungal cream, the rash was gone.
NEONATAL CEPHALIC PUSTULOSIS
Neonatal cephalic pustulosis (NCP), also known as neonatal acne or benign cephalic pustulosis, is a common, self-limiting skin condition in newborns characterized by small pustules on the face and scalp. It usually appears within the first few weeks of life and resolves without treatment within a few months. While the exact cause is not fully understood, it's thought to be related to a temporary overgrowth of yeast-like microorganisms Malassezia.
- Malassezia furfur is found by direct microscopy in pustular material.
- Ketoconazole 2% cream BID clears this eruption within one week.
Clinical
Typically, the newborn develops papulopustular lesions on the face, scalp and neck.
Treatment
- Observe as will go away over time
- Ketoconazole 2% cream BID may be prescribed. Or ketaconazole shampoo every other day.
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