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Old 09-24-2011
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Default Skin rash in two days old baby

A baby developed wide spread skin rash 48 Hrs after birth, the rash started on the back, now involving the chest & thighs, the rash has red base, in some ares form pustules. The baby otherwise normal ( afebrile & vital signs are normal). What is the most likely diagnosis?
  • Staphylococcal scalded Skin Syndrome.
  • Erythema toxicum.
  • Scarlet fever.
  • Herpes.
  • You need to do culture to differentiate.
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Old 09-24-2011
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tough one...
erythema toxicum
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Old 09-24-2011
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Erythema toxicum.
Resolves by itself. No Rx necessary.
All the other ones would present with general symptoms.
And, no skin disorder is cultured to obtain an initial diagnosis.
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Old 09-24-2011
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et
Firm, yellow-white papules/pustules with erythematous base; peaks on second day of life; contain eosinophils; self-limited; differential: SSSS (Staphylococcal scalded skin syndrome)
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Old 09-25-2011
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Erythema toxicum
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Old 09-25-2011
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The correct answer: Erythema toxicum.
As you all mentioned the differential includes
Staphylococcal scalded Skin Syndrome, in this condition the patient will be severely ill (toxic).
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