Neonatal Cephalic Pustolisis is a differential of the other paediatric facial dermatoses – such as milia, miliaria.

Bill is a 3 week old boy who presents with spontaneous face rash as seen in the picture. He has recently been well. 

What is the most likely diagnosis?

What are the features of examination that define this condition?

What are the management of options of this condition?

 

 

Pathology of neonatal cephalic pustulosis

  • (Neonatal acne)
  • Pustular eruption on face and scalp often during 3rd week
  • No comedones so diff from true acne
  • Due to malassezia

Management

  • Nil
  • Antifungal cream – ketoconazole