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Skin Health Skin Health Basics

Baby Blemishes: Treating Skin Conditions in Infants


Medical Reviewer:

Robert Daigneault, MD

Medically Reviewed On: November 26, 2003

If cradle cap is mild, a standard baby shampoo may be sufficient to help remove the scale. Some parents find that if they, when shampooing, use a soft brush designed for the scalps of babies, that will help lift off some of that scale. Some people prefer to apply a small amount of mineral oil to the scalp and then use the brush to loosen the scale. An antiseborrheic shampoo—that's one of the dandruff shampoos—could be used to help lift off the scale if other measures weren't effective. Generally, if you're at this point, it might be worth talking to your health care provider about selecting of one of these shampoos. Parents should use the shampoo on an as-needed basis. Once the scale is gone you can return to your infant's routine scalp care.

Do parents need to treat the flaky skin some infants are born with?
Flaking skin is a normal and temporary finding. No treatment is necessary. If the skin seems excessively dry or there's a little bit of cracking, which sometimes can happen in the skin folds, then, a moisturizer may be helpful.

What is infant acne?
Neonatal acne is the acne that typically appears in the first few weeks of life. It is very common and it's caused in the same way that teenage acne: by hormones. It's caused by male hormones called androgens, which are actually quite high in both male and female babies at around the time of delivery, and then tend to diminish over time. As those hormone levels decline the acne tends to disappear. If the acne seems to be lasting longer or is particularly severe, meaning that somebody's seeing lots of red bumps or scars, then you'd want to talk to your doctor.

What is erythema toxicum?
Erythema toxicum is a common skin rash and not a cause for any concern. It typically shows up in the first few days of life as little red blotches on the skin, and in the middle of the red blotch there can be a little bump. No one knows why this rash happens but it's absolutely harmless, it tends to go away in several days, and no treatment is needed.

What is prickly heat?
Heat rash often is called prickly heat but its technical name is miliaria. Nobody really understands exactly why babies have heat rashes, except that the sweat glands in the skin seem to become blocked up. You then get a little leak of the sweat outside of the duct, and that creates irritation or inflammation that results in a tiny red spot or bump about a millimeter or so in size.

Those spots tend to appear in areas where there are skin folds such as in the folds of the neck. They are more likely to happen if a baby becomes overheated. So heat rashes can occur in the summer months in warm climates, or if a baby is a bit too heavily dressed for the surrounding temperature. Sometimes heat rashes can be made worse if parents are applying thick moisturizers or other products.

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