A three week old baby come to the office with the chief complaint of an extensive rash. The child seems comfortable and is nursing well. There is no history of atopy in the family. The rash is confined primarily to the scalp, neck, and axillary areas. There are waxy scaly lesions with minimal weeping.
Newborn skin is thinner and has less hair than older infants.
There is a paucity of normal protective skin flora and there are potentially vulnerable areas around the cord, scalp lesions, and circumcision for invasion of organisms. . Babies all receive some type of cord care immediately after delivery. Normal variations Acrocyanosis-purplish discoloration of the hands, feet, and around lips in response to crying, holding breath and cold. Cutis Marmonata- bluish mottling of the skin on trunk and extremities. Common when infant is cold.