Step 2

Dermatology 5

A 3-hours-old neonate is evaluated in the newborn nursery for “facial bumps” which the newborn’s mother just noticed. The newborn’s mother received all routine prenatal care and her pregnancy was uncomplicated. Birth history is significant for delivery at 39 weeks and 4 days via normal spontaneous vaginal delivery after 13 hours of labor. Forceps were used during the deliver due to maternal exhaustion. Examination of the newborn in the first 10 minutes of life did not reveal any lacerations. Vital signs are within normal limits. Physical examination reveals a vigorous newborn with diffuse, 1mm, firm, white papules on the face.

Which of the following additional features is most likely related to this newborn’s physical examination findings?

  • A) Accumulation of keratin
  • B) Eosinophilia on smear of the lesions
  • C) Exposure to excess heat
  • D) Exposure to Malassezia
  • E) Exposure to the herpes simplex virus in utero


alexandra Conway


Dr. Ted O'Connell

Last updated

Jun 09, 2024

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