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Erythema toxicum

 
Medical Dictionary: erythema tox·i·cum
(tŏk'sĭ-kəm)
n.

A skin condition caused by reaction to a toxic and characterized by a widespread erythmatous eruption.

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Erythema toxicum
Classification and external resources
ICD-10 L53.0, P83.1
ICD-9 695.0, 778.8
DiseasesDB 4458
MedlinePlus 001458
eMedicine derm/139 ped/697

Erythema toxicum (or toxic erythema) is a common rash in neonates.[1]:139[2] It appears in up to half of newborns carried to term, usually between day 2-5 after birth.

Contents

Presentation

The rash is composed of small papular lesions, each on a separate reddened base.

Diagnosis

At times the appearance can raise concern that the rash could be due to herpes simplex; however, the latter generally has a more clustered and vesicular appearance.

In uncertain cases, a scraping of a lesion can be done and the fluid examined under the microscope. Herpes lesions will have a positive direct fluorescent antibody test. The fluid from erythema toxicum lesions will show many eosinophils.

Causes

The cause of erythema toxicum is unknown, but it is thought to be a benign condition that causes no discomfort to the infant. The rash will generally disappear spontaneously in about 2 weeks.

References

  1. ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0721629210.
  2. ^ Berg FJ, Solomon LM (April 1987). "Erythema neonatorum toxicum". Arch. Dis. Child. 62 (4): 327–8. doi:10.1136/adc.62.4.327. PMID 3592724. 

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Medical Dictionary. The American Heritage® Stedman's Medical Dictionary Copyright © 2002, 2001, 1995 by Houghton Mifflin Company Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Erythema toxicum" Read more