Newborn rash on chin

Newborn Rashes and Birthmarks

Is this your child's symptom?

• Normal skin rashes and birthmark questions about newborns

Newborn Rashes - Topics Covered

If your baby is healthy, skip the "What to Do" section. Go directly to the topic number that relates to your question for advice.

1. Acne. Small red bumps on the face (onset 2-4 weeks).
2. Drooling or Spit-Up Rash. Rash around the mouth and on the chin (onset anytime).
3. Erythema Toxicum. Red blotches with small white "pimple" in the center (onset 2-3 days).
4. Skin Injury from Birth Process. From forceps, scalp electrode or birth canal (present at birth).
5. Milia. Tiny white bumps on the nose and cheeks (present at birth).
6. Mongolian Spots. Bluish-green birthmark, often on buttock (present at birth).
7. Stork Bites (Pink Birthmarks). On back of neck or bridge of nose (present at birth).
8. Strawberry Hemangiomas. Raised red birthmarks (onset 2-4 weeks).
9. Port-wine Stains. Dark red or purple flat birthmarks (present at birth).

Newborn Face Rashes: Most Common Ones

• Erythema Toxicum 50% (onset day 2 or 3)
• Milia 40% (present at birth)
• Baby Acne 30% (onset week 2 to 4)
• Drooling or Spit-up Rash (common and onset any time)
• Heat Rash (common and onset any time)

Heat Rash

• Many newborn rashes that have no clear cause are heat rashes.
• Heat rashes are a pink blotchy area with tiny bumps.
• They mainly occur on the face, neck and chest.
• During hot weather, most temporary newborn rashes are heat rashes.
• Cause: blocked off sweat glands. The openings are so tiny in newborns, that any irritation can block them. Examples are getting any ointment on the skin, friction from clothing or being overheated. Being held against the mother's skin while nursing causes many face rashes.

Herpes Simplex: Serious Newborn Rash

• Appearance. Several water blisters or pimples grouped in a cluster. They look like the cold sores (fever blisters) that adults get on their lip. After several days, they crust over.
• Location. Just one part of the body, usually the scalp or face.
• Redness. The base can be pink. The pinkness does not extend beyond the cluster of vesicles.
• Onset. Within the first 2 weeks of life.
• Importance. Early treatment with anti-viral drugs can prevent serious problems. If you think your newborn's rash looks like herpes, call your child's doctor now.
• Imitator. Although herpes can be confused with erythema toxicum, they look very different.

When to Call for Newborn Rashes and Birthmarks

Call 911 Now

• Not moving or very weak
• You think your child has a life-threatening emergency

Call Doctor or Seek Care Now

• Age less than 1 month old and looks or acts abnormal in any way
• Fever in baby less than 12 weeks old. Caution: do NOT give your baby any fever medicine before being seen.
• Purple or blood-colored spots or dots not present at birth
• Tiny blisters (little bumps that contain clear fluid)
• Pimples (little bumps that contain pus). Exception: looks like erythema toxicum which occurs in half of newborns.
• Skin looks infected (such as spreading redness, sores or pus)
• Rash is painful to touch
• You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

• You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

• Mild newborn rash, but cause is not clear
• You have other questions or concerns

Self Care at Home

• Normal newborn rashes or birthmarks

Seattle Children's Urgent Care Locations

If your child’s illness or injury is life-threatening, call 911.

• Bellevue
• Everett
• Federal Way
• Seattle

Care Advice for Newborn Rashes and Birthmarks

1. Acne:
   • More than 30 percent of newborns develop baby acne of the face. Acne consists of small red bumps.
   • This baby acne begins at 2 to 4 weeks of age. It lasts until 4 to 6 months of age.
   • The cause appears to be the transfer of maternal hormones just prior to birth.
   • Since it goes away on its own, no treatment is needed. Baby oil or ointments make it worse.
2. Drooling or Spit-up Rash:
   • Many babies have a rash on the chin or cheeks that comes and goes. This is often due to contact with food. It's more common after starting baby foods. In newborns, it can also be from stomach acid that has been spit up. Prolonged contact with spit-up during sleep can cause the rash to get worse.
   • Other temporary rashes on the face are heat rashes. These can occur in areas held against the mother's skin during nursing. Heat rashes are more common in the summertime.
   • Rinse the face with water after all feedings or spitting up. During hot weather, change the baby's position more often. Also, put a cool wet washcloth on the rash. Do this for 10 minutes.
3. Erythema Toxicum:
   • More than 50 percent of babies get a rash called erythema toxicum. It starts on the second or third day of life.
   • It's a harmless baby rash that doesn't need to be seen.
   • The rash is made up red blotches. They are ½ inch to 1 inch (1 to 2.5 cm). The blotches have a small white or yellow "pimple" in the center.
   • They look like insect bites, but are not. Red blotches are the main feature.
   • They can be numerous, keep occurring, and look terrible. They can occur anywhere on the body surface, except the palms and soles.
   • Their cause is unknown, but they are not an infection.
   • They go away by 1-2 weeks of age.
   • No treatment is needed. Ointments or baby oil make it worse.
4. Skin Injury from Forceps, Scalp Electrode or Birth Canal:
   • The pressure of a forceps on the skin can leave marks. You may see bruises or scrapes anywhere on the head or face.
   • During birth, skin overlying bony prominences can become damaged. You might see this on the sides of the skull bone. This is from pressure from the birth canal. Even without a forceps delivery, you may see bruises or scrapes.
   • Scalp electrodes can also cause scalp scrapes and scabs.
   • The bruises and scrapes will be noted at birth. They will be more noticeable by day 2. They heal over or go away by 1 - 2 weeks of age.
   • A fat tissue injury won't appear until day 5 to 10. Look for a firm coin-shaped lump. It will be under the skin and sometimes with a scab. This lump may take 3 or 4 weeks to go away.
   • For any breaks in the skin, apply an antibiotic ointment (such as Polysporin). No prescription is needed. Use 3 times per day until healed.
   • Call Your Doctor If:
   • It becomes tender to the touch
   • Becomes soft in the center
   • Starts to looks infected
5. Milia:
   • Milia are tiny white bumps that occur on the face. The nose and cheeks are most often involved. Milia can also be seen on the forehead and chin.
   • Milia occur in 40 percent of newborn babies. Present at birth.
   • Milia are many in number. They occur equally on both sides of the face.
   • Although they look like pimples, they are much smaller (pinhead size). They are not infected.
   • They do not look like water blisters.
   • They are blocked-off skin pores. They will open up.
   • Milia will go away by 1 to 2 months of age.
   • No treatment is needed. Ointments or creams can make them worse.
6. Mongolian Spots:
   • A Mongolian spot is a normal bluish-green or bluish-gray flat birthmark. They occur in over 90 percent of Native American, Asian, Hispanic, and African American babies. They are also seen in 10 percent of Caucasians, especially those of Mediterranean descent.
   • They are present at birth.
   • They occur most commonly over the back and buttocks. However, they can be present on any part of the body.
   • They vary greatly in size and shape.
   • They do not indicate illness or any disease.
   • Most fade away by 2 or 3 years of age. A trace may last into adult life.
7. Stork Bites (Pink Birthmarks):
   • Flat pink birthmarks that occur over the bridge of the nose or the eyelids. You can also find them on the back of the neck ("stork bites"). The ones in front are often referred to as "an angel's kiss".
   • They occur in more than 50 percent of newborns. They are present at birth.
   • All the birthmarks on the bridge of the nose and eyelids clear completely. Those on the eyelids clear by 1 year of age. Those on the bridge of the nose may last for a few more years. Those on the forehead from the nose up to the hairline usually last into adulthood. Laser treatment during infancy should be considered. Most birthmarks on the nape of the neck also clear. But, 25 percent can last into adult life.
8. Strawberry Hemangiomas:
   • Strawberry hemangiomas are red birthmarks that are raised or increasing in size.
   • Onset usually between 2-4 weeks of age. Most often, start after 3 weeks of age. Sometimes (although rare), they don't appear until the second month of life.
   • They become larger for 1 year. Then, they fade away over 6 to 8 years without any treatment.
   • They run a small risk of bleeding with trauma. Any bleeding should stop with 10 minutes of direct pressure.
   • Discuss with your child's doctor on the next regular visit. Call sooner if you are concerned.
9. Port-Wine Stain Birthmarks:
   • Present at birth in 1 out of 200 newborns
   • Deeper in color (dark red or purple) than stork bites (salmon patches)
   • Flat, smooth surface
   • Natural course: Do not fade or disappear like stork bites. May become darker.
   • Grow with the child, but cover the same area
   • Treatment: May refer to dermatologist for laser treatments early in infancy
10. Call Your Doctor If:
    • Your baby starts to look or act abnormal in any way
    • You think your child needs to be seen

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Last Reviewed: 01/24/2023

Last Revised: 12/30/2022

Copyright 2000-2023. Schmitt Pediatric Guidelines LLC.

How Do I Prevent or Treat My Baby's Drool Rash?

Excessive drooling can cause rash in mouth, chin, cheeks, neck

Excessive drooling can cause rash in mouth, chin, cheeks, neck

Babies are known for their soft, smooth skin. But they’re also known for drooling, and excessive drooling on their skin can cause a common condition known as drool rash.

These flat or slightly raised patches may have small red bumps or look chapped and dry, and usually affect the mouth, chin, cheeks and neck.

Drool rash happens when your baby’s skin is wet with saliva for long periods of time and becomes irritated. The rash often happens when a baby is teething; because they often have their hands or a teething ring in their mouth, saliva easily drips out of their mouth onto their face.

While drooling can be one of the signs of teething, a baby’s salivary glands develop when they’re around 2 to 3 months old, so they frequently drool even when they’re not getting new teeth. Pacifiers also can keep the skin around a baby’s mouth wet and lead to drool rash.

How to treat drool rash

You can treat most cases of drool rash at home. Wash the affected areas gently with warm water twice a day, then pat your baby’s skin dry with a soft cloth.

“Avoid rubbing or using a rough or abrasive towel, which can further aggravate the condition,” says Livpreet Singh, DO, a pediatrician at Scripps Coastal Medical Center Eastlake. “Also avoid washing the area too frequently or using any kind of medicated soap on the rash. Warm water is usually all you need.”

Make sure your baby’s skin is completely dry, then apply a healing ointment, such as Aquaphor. This will help soothe the irritation and act as a barrier between the baby’s drool and their skin, so the rash has a chance to heal.

Avoid using products that might be irritating to your baby’s sensitive skin. Be sure to use only mild, fragrance-free baby washes at bath time; if you use baby lotion on their skin, choose one that is unscented. Don’t apply lotion or anything other than a healing ointment to the drool rash and keep it as dry as possible.

Be aware of other products in your home that may affect your baby’s skin. Wash your baby’s clothes, burp cloths, bibs, sheets and towels in mild, unscented laundry detergent; you may want to use it to wash your own clothes, too. Perfume, essential oils or scented body products may aggravate a rash if the baby’s skin comes into contact with yours. 

4 tips to help prevent drool rash

Drooling is a natural behavior for babies, and preventing it can be a challenge. “But there are a few things you can do to help keep your baby’s skin clean and dry to minimize drool rash,” Dr. Singh says.

Try these tips:

1. Gently wipe

Keep a soft burp cloth handy to wipe away drool from your baby’s mouth and chin, especially after feedings and naps. Also check the folds of the neck and the chest for saliva that may have dripped from your baby’s face. Always use a cloth that is clean and dry and use gentle blotting motions to remove saliva. 

2. Use a bib

Some babies drool so much that their clothing becomes damp, which can lead to drool rash on the body as well as make your baby uncomfortable. Try using a bib to keep saliva away from your baby’s shirt and skin. If the bib becomes damp, replace it with a clean, dry one.

3. Take breaks from pacifier

Pacifiers can encourage drool rash if saliva is trapped against your baby’s skin. Use a soft, dry cloth to wipe away saliva and take breaks from pacifier use to let the skin air out.

4. Don’t wait too long to clean

Don’t let smeared food remain on your baby’s face after meals, as this too can lead to a rash. Clean your baby’s mouth and face after eating to remove any traces of wet food.

When to call your pediatrician

Dr. Singh recommends calling your pediatrician if your baby’s drool rash hasn’t improved after a week or so of home treatment, or if the rash is cracked or painful. They may suggest an over-the-counter hydrocortisone cream or prescribe a cream to help heal the rash and keep your baby’s skin clear.

Related tags:

• Health and Wellness
• Pediatrics

Rashes in infants | Rassvet Clinic

Babies are generous with various rashes. According to the "good" tradition, most of them are considered allergic with all the consequences - a strict diet for a nursing mother, transfer to artificial feeding, prescription of therapeutic mixtures, etc. In fact, true allergic rashes in infants are not so common. Allergic diseases affecting the skin in infants include: atopic dermatitis, acute urticaria and angioedema. Acute urticaria is extremely rare in infants - this is an acute allergic reaction in the form of peculiar rashes like blisters (as with a nettle burn, hence the name), which suddenly appear on the skin and just as suddenly disappear without leaving any trace, usually do not exist on the skin for longer than a day and are accompanied by severe itching, which manifests itself in the general anxiety of the child. The most common causes are dietary proteins (such as cow's milk), viral infections, insect bites, and drugs (such as antibiotics). In severe cases, it may be accompanied by swelling and redness of the soft tissues of the face, neck, larynx, arms, legs, genitals or abdominal cavity - Quincke's edema, which requires immediate medical attention. nine0003

Let's look at what is most often undeservedly called an allergy:

Toxic erythema newborns - a transient benign rash, the exact cause of the appearance is unknown (possibly due to skin irritation by environmental factors).

Appears at birth or in the first 24-48 hours of life. Localization - face, trunk, limbs, except for the palms and soles. Disappears on its own within 5-7 days, sometimes 3 weeks. Does not require treatment. nine0003

Neonatal acne (acne infancy, neonatal pustulosis) is caused by androgen stimulation of the baby's sebaceous glands.

Peak rash falls on the 3rd week of life. It is localized more often on the face, sometimes spreads to the scalp, less often to the collar zone. They resolve spontaneously. The skin needs cleansing and moisturizing, in some cases, the application of
treatment creams may be required.

Sweating rash , which occurs in poorly "ventilated" areas as a result of blockage of the sweat glands. May occur at any age.

Localization - skin folds, buttocks and back surface of the body, sometimes the face (after sleep). Depending on the depth of the lesion, it happens - crystal prickly heat, prickly heat, deep prickly heat (superficial).

The duration of the rash is from several hours to several days.

Treatment - cool water baths, air baths, prevention of overheating. Lotions containing calamine and creams with corticosteroids and antibiotics may be used to treat some cases of red and deep prickly heat. nine0003

Seborrheic dermatitis is a skin disorder that develops in areas rich in sebum. The exact cause is unknown (a certain role is assigned to the skin saprophyte - the Malassezia fungus, which grows well and multiplies in the sebaceous secretion).

It can be foci or widespread, dermatitis with bran-like scales, which can form a crust (“bonnet”, gneiss) on the scalp.

Favorite localization - scalp, face, folds (!). nine0003

May begin at 1-2 weeks of age or later, resolve spontaneously within weeks or months.

Treatment consists of softening the crusts with oil or cream and then removing them, moisturizing the skin and, in some cases, applying antifungal and anti-inflammatory creams.

Simple contact dermatitis is a non-specific skin injury due to prolonged or repeated exposure to a variety of substances - saliva, fruit juices, foaming bath products, detergents (their residues on the walls of the bath), etc. In infants, saliva is often causes dermatitis in the area of ​​contact with the nipple and in the folds of the neck. nine0010