Cameo

TRANSIENT NEONATAL PUSTULAR MELANOSIS RONALD ). BARR, M.D., LINDA M. GLOBERMAN, M.D. AND FRED A. WERBER, M.D.

showed d gradual transition into an intrafolIicular abscess conlaining abundant eosinophils (Fig. 3).

From the Section of Dermal Pathology and Histochemistry, Division of Dermatology, University ot California. Irvine. California and the Department of Pediatrics, LJniversity of California, Irvine. California

Discussion

A Mexican-American boy presented at birth wilh an extensive eruption consisting of 0.5 in 1.0 c m hyperpigmented mac ulcs with a distinct peripheral scale involving primarily the forearms, abdomen and lower back (Fig. 1). Rare iniact vesiropustules were also indrnlified. There was an unremarkable prenatal hi^^tory, and the infant was a product ol a normal vaginal delivery. Wilh lhe exception ot the skin lesions and moderate hepatosf>lenomegaly, the physical examinalion was normal. Gram stains of the pustules showed numerous neutrophils bul no bacleria. Bacteri.il cultures of Ihe skin and blood, TORCH screen (toxoplasmosis, rubelia, cytomcgalic virus, and herpes virus) and a VDRL were negative. On the second day of life, the patient developed several pustules with surrounding erythema consistent with erythema toxicum neon.itorum, Wright-slained sme

Transient neonatal pustular melanosis.

Cameo TRANSIENT NEONATAL PUSTULAR MELANOSIS RONALD ). BARR, M.D., LINDA M. GLOBERMAN, M.D. AND FRED A. WERBER, M.D. showed d gradual transition into...
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