Toxic erythema is a polymorphic rash on the skin of newborns in the first weeks of life. Eruptions,
mainly reflect the process of adaptation to the baby's external conditions of life and the environment, after being in the womb. This boundary condition is held for a few days and there is 20% of newborns.
Causes and symptoms of toxic erythema
Toxic erythema of the newborn is an allergic reaction to the components of breast milk and is divided into two stages - the chemical and physiological. The first step is the release of active substances which mediate the allergic reaction. In the second step manifest erythema immunological changes, which can be associated with problems of bowel function, hypothermia, bacterial lesions.
The clinical picture of toxic erythema characterized by the appearance on the second or third day of life of allergic rashes on the face of the baby, which manifest themselves in the form of dense patches of gray-red color with small bubbles. Spots appear mostly on the face, head, around joints, at the buttocks and chest. An allergic reaction can be both local and general.
In some cases, within 3-4 days, there are recurrent eruptions, but more often an allergic reaction takes place completely and does not manifest itself again.
Toxic erythema newborn causes anxiety, fever, small seal lymph nodes, dyspepsia and increase in the size of the spleen. In most cases, except for external lesions, this allergic reaction affects the physical and psychological condition of the baby.
The disease is most often seen in infants who receive natural breastfeeding and only 10% of infants who receive artificial feeding.
Diagnosis of neonatal toxic erythema
Toxic erythema set by clinical and microscopic analysis.
To determine the exact diagnosis of non-specific or disputed cases, prescribe a blood test and a study of the horny layer of the epidermis. The study shows the presence or absence of sebaceous glands papules erythema with edema and infiltration of leukocytes accumulation.
In some cases, prescribed study of the composition of breast milk and the identification of the individual allergens in it for the newborn.
Treatment of toxic erythema
In the vast
including cases of toxic erythema requires no special treatment, and passes within a few days after birth. In other cases, prescribed medication and physiotherapy.
The main treatment of toxic erythema begin with air baths and special care pustules on the skin. The child should be protected from the adverse effects on the skin, as well as to exclude the presence of allergens in the diet of the mother.
In protracted manifestations of allergic reactions prescribed intake of antihistamines and biological agents with vitamins E, B6 and C, rutin and laktobakterina.
If you are experiencing severe rash around the umbilical cord, the doctor prescribes 2 times a day to lubricate pustular elements of an alcohol solution and brilliant green solution of 5% potassium and sprinkle talcum powder on the skin with zinc oxide.
For the normalization of the general condition of the infant in toxic erythema recommend drinking plenty of fluids, fresh air, drinking the glucose solution and preparations containing potassium.