I'm wondering if someone could explain how to differentiate between newborn 
acne (seborrheic dermatitis) and allergic rash?  (any references with 
pictures?)  A baby I saw recently, one month old, had severe pinpoint rash covering her 
face, back of her head, and areas of yellow exudate on eyebrows and various 
other smaller areas.  No rash visible on neck, chest or back.  

How severe can rash be and still be considered "newborn acne?"  Is the oozing 
considered infective?  I instructed r/o infant sensitivity to detergent in 
clothing/sheets by adding vinegar to rinse cycle and then running rinse cycle 
again and using breastmilk on face, especially areas of oozing.  Pedi stated it 
was merely newborn acne.  Infant is fussy at breast but latching issues also 
present.  Thank you.

Barbara Latterner, BSN, RN, IBCLC, RLC

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