eMedicine Specialties > Dermatology > Pediatric Diseases
Transient Neonatal Pustular Melanosis: Follow-up
Updated: Sep 6, 2007
Follow-up
Deterrence/Prevention
Contagious isolation is unnecessary.
Prognosis
The prognosis for this benign condition is good. The vesicles and pustules usually resolve within 48 hours, while the brown macules may persist for several months.
Patient Education
Reassure the parents that this is a benign, self-limiting condition.
Miscellaneous
Medicolegal Pitfalls
Failure to recognize and distinguish this condition from other neonatal pustular and vesicular dermatoses with more serious systemic implications is a pitfall. Congenital herpes is the differential diagnosis that represents the greatest threat of a poor outcome. Because pustules can be a manifestation of sepsis, it is important to consider infectious etiologies in neonates.
More on Transient Neonatal Pustular Melanosis |
| Overview: Transient Neonatal Pustular Melanosis |
| Differential Diagnoses & Workup: Transient Neonatal Pustular Melanosis |
| Treatment & Medication: Transient Neonatal Pustular Melanosis |
Follow-up: Transient Neonatal Pustular Melanosis |
| References |
| « Previous Page |
References
Cohen L, Skopicki D, Harrist T, Clark Jr W. Noninfectious vesiculobullous and vesiculopustular diseases. In: Elder D, Elenitsasis R, Jaworsky C, Johnson Jr B, eds. Lever's Histopathology. 8th ed. Philadelphia, Pa: Lippincott-Raven; 1997:237.
Dinulos JG, Graham EA. Influence of culture and pigment on skin conditions in children. Pediatr Rev. Aug 1998;19(8):268-75. [Medline].
Ferrándiz C, Coroleu W, Ribera M, Lorenzo JC, Natal A. Sterile transient neonatal pustulosis is a precocious form of erythema toxicum neonatorum. Dermatology. 1992;185(1):18-22. [Medline].
Mengesha YM, Bennett ML. Pustular skin disorders: diagnosis and treatment. Am J Clin Dermatol. 2002;3(6):389-400. [Medline].
Ramamurthy RS, Reveri M, Esterly NB, Fretzin DF, Pildes RS. Transient neonatal pustular melanosis. J Pediatr. May 1976;88(5):831-5. [Medline].
St John EB. Neonatal Pustular Melanosis. eMedicine from WebMD [serial online]. March 28, 2006;Available at http://www.emedicine.com/ped/topic698.htm.
Ta A, Sandler B. Common transient neonatal dermatoses. In: Harper J, Oranje A, Prose N, eds. Textbook of Pediatric Dermatology. London, England: Blackwell Science; 2000:59-61.
Treadwell PA. Dermatoses in newborns. Am Fam Physician. Aug 1997;56(2):443-50. [Medline].
van Emmen E, Roord ST, Brouwer AF, Kuiters GR, Bekhof J. [Pustular and vesicular skin eruptions in newborns]. Ned Tijdschr Geneeskd. Feb 3 2007;151(5):277-83. [Medline].
Further Reading
Keywords
vesicles, superficial pustules, pigmented macules, neonatal skin conditions, neonatal dermatoses
Follow-up: Transient Neonatal Pustular Melanosis