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Expert Q&A:
My infant has a pimple-like rash -- what could it be?

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Answered by Anthony Mancini M.D.


Dr. Mancini received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology, and dermatology at Stanford University. He is currently Associate Professor of Pediatrics and Dermatology at Northwestern University's Feinberg School of Medicine and Head of the Division of Dermatology at Children's Memorial Hospital in Chicago, Illinois.



Dr. Mancini has served as a member of the AAP Executive Committee, Section of Dermatology since 2001. He is a member of the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team, and is Secretary-Treasurer of the Society for Pediatric Dermatology. His teaching accomplishments include the Faculty Excellence in Education Award from the Department of Pediatrics at Northwestern, which he has received for the last eight years. Dr. Mancini is a peer reviewer and/or sits on the editorial board for several academic journals, and has published over 75 peer-reviewed articles, abstracts, and book chapters. He is co-author of Hurwitz Clinical Pediatric Dermatology, 3rd edition, and is an associate editor for the comprehensive dermatology textbook Dermatology. His special interests include infectious skin diseases and exanthems of childhood, vascular malformations and hemangiomas, and neonatal skin maturation and skin disorders.



Dr. Mancini is a Fellow of the American Academy of Pediatrics and the American Academy of Dermatology. He and his wife, Nicola, a neonatal intensive care nurse, have three children (Mallory, Christopher, and Mackenzie) and reside in Evanston, Illinois.

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Question


What are "kiss bumps"? My 6-week-old baby recently developed a rash on her cheeks and ears. The rash is raised and dry and looks like pinkish pimples on the cheeks and flesh-toned ones on the earlobes. It doesn ¿t appear to irritate her. Several people at my church said that the rash comes from my husband and me kissing her. We ¿ve applied Westcort cream to the areas once a day and bumps are drying up. Is this appropriate?

Answer


Your baby most likely has neonatal (or newborn) acne. This very common condition appears within the first few weeks of life and usually disappears on its own over several months.

Newborn acne is triggered by the hormones the baby acquires from Mom (across the placenta), and as these hormones disappear from her bloodstream, the condition improves.

Westcort is a steroid cream and, although it is a relatively weak one, should not be used on newborn acne as it may prolong the duration of the condition (even though some mild improvement may be seen while it is being applied).

Many other rashes could crop up for a 6-week-old baby; if this rash persists, you may wish to discuss it with your pediatrician. Most important, neither your skin contact nor that of Dad is likely to contribute to this rash, so continue to enjoy showering your bundle of joy with love and kisses.

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I have the same problem
My 6 week old has the same bumps. I got really concerned about them because it went from a couple o..

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