What causes a white rash on an infant's skin?

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Differential Diagnosis for White Rash on Infant Skin

  • The following is a list of possible causes for a white rash on an infant's skin, categorized by likelihood and importance.

Single Most Likely Diagnosis

  • Eczema (Atopic Dermatitis): A common skin condition in infants, characterized by itchy, inflamed skin, and often appears as a white or light-colored rash.
  • Milky Spots or Milia: Small, white bumps on the skin caused by keratin buildup, commonly seen on the nose, cheeks, and chin of newborns.

Other Likely Diagnoses

  • Seborrheic Dermatitis: A skin condition that causes a red, oily, and flaky rash, often with white or yellowish scales, typically on the scalp, face, and ears.
  • Contact Dermatitis: A skin reaction to an allergen or irritant, resulting in a red, itchy, and sometimes white rash.
  • Impetigo: A highly contagious bacterial skin infection, often starting as a white or yellowish spot that turns into a honeycomb-like crust.

Do Not Miss Diagnoses

  • Congenital Syphilis: A serious condition that can cause a variety of skin rashes, including white or pale-colored lesions, and requires prompt treatment to prevent long-term damage.
  • Leucoderma (Vitiligo): A condition that causes loss of skin pigment, resulting in white patches, which can be a sign of an underlying autoimmune disorder.
  • Langerhans Cell Histiocytosis: A rare disorder that can cause skin lesions, including white or light-colored rashes, and requires early diagnosis and treatment.

Rare Diagnoses

  • Epidermolytic Hyperkeratosis: A rare genetic disorder that causes thick, scaly skin and can appear as a white or light-colored rash.
  • Ichthyosis: A group of rare genetic disorders that cause dry, scaly skin, which can appear white or light-colored.
  • Sclerema Neonatorum: A rare condition that causes hardened, white skin in newborns, often associated with serious underlying medical conditions.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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