Erythema Toxicum Neonatorum

Dr. Prashant Kumar Singh, Dr. Saurabh Kataria

Abstract: Background: Erythema toxicum neonatorum (ETN) is a benign, self - limited, transient, evanescent eruption - small yellowish pustules and papules that are surrounded by an irregular reddish wheal. The majority of lesions are temporary, often disappearing within a few hours and reappearing elsewhere sparing the soles and palms. ETN can present within 24 hours of life and resolves in 7 - 14days. Case discussion: We present a case of late preterm vigorous MSL (Meconium stained liquor), SGA (small for gestation) newborn with pustular lesions all over the body at the time of birth sparing the back, palms, and soles which were diagnosed as ETN after ruling out sepsis and other causes. All the lesions healed without scarring and there was no evidence of congenital blistering disorders in newborn. Management: The baby was managed conservatively and the lesions resolved on 15th day of life on their own. Conclusion: Intrauterine ETN is rare and only 2 such cases reported worldwide as per our best knowledge, of which none have been from India. Also, our baby was born with meconium - stained liquor and its association with ETN has been previously attempted to study but without any definitive conclusion.

Keywords: Erythema toxicum neonatorum at birth, meconium - stained liquor, Neonate