Transient Neonatal Pustular Melanosis

• Figure 2.1 A: Neonatal pustular melanosis* B: Neonatal cephalic pustulosis (Reprint from Boekhout T, Gueho-Kellerman E, Mayser P, Velegraki A. Malassezia and the Skin. New York, NY: Springer; 2010) C: Subcutaneous fat necrosis* * Reprint from Laxer RM, ed. The Hospital for Sick Children: Atlas of Pediatrics. Philadelphia, PA: Current Medicine; 2005

  Onset at birth; common in darkly pigmented infants
• Presents with small pustules or residual hyperpigmented macules with collarette of scale
• Smear of sterile pustule shows numerous neutrophils
• Histology: subcorneal pustules with neutrophils