Study note

Neonatal breast engorgement, erythema toxicum, and pyoderma

THE CONTEXT
This passage distinguishes self-resolving neonatal findings from pus-filled lesions caused by local skin infection.

Breast engorgement

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Neonatal breast engorgement resolves spontaneously in a few days.
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Do not squeeze or massage engorged breasts, because this may cause soreness and infection.

Erythema toxicum

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Erythema toxicum begins on day two or three of life.
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The lesions are maculopapular with an erythematous base and occur over the trunk and face.
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These lesions are sterile, contain eosinophils, and resolve spontaneously.

Pyoderma

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Pyoderma consists of pus-filled lesions caused by local skin infection.
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Lesions commonly occur in creases where dirt accumulates, such as the thigh fold and back of the neck.
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