SHOULD BE ERYTHEMA TOXICORUM NEONATORUM BACKGROUND DEVELOPMENT OF ATOPIC DERMATITIS IN INFANTS?

Abstract

The article presents up-to-date scientific and own data on individual epidemiological characteristics of toxic erythema in newborn children, its etiopathogenic components. It is noted that the peculiarity of transient states of newborns is considered not only that they occur at the boundary of two periods of life (pre-natal and extracurricular, but also that normal at first glance, physiological processes for newborns, under certain conditions, which are primarily dependent on gestational age at birth, features of the intrauterine period, childbirth, environmental conditions, care, feeding, the presence of the disease can transform into pathological conditions. The incidence of toxic erythema among newborns can range from 16 to 60%, that depending on a number of perinatal factors. Toxic erythema is manifested in a large number of small areas of reddened skin with a yellowish-white papule in the center. Although the elements are best seen on the second, the third day of life, their appearance should be anticipated in the next few weeks. Careful diffusion diagnosis requires this benign rash, especially in preterm infants, since toxic erythema is common in full-term infants.The focus is on the importance of patient awareness when deciding whether to provide medical care to a patient. The role of skin maturity in the frequency of toxic erythema is emphasized. The clinical manifestations, features of the course, verification of the diagnosis are described. It has been shown that more than 85% of infants with atopic dermatitis had toxic erythema during the neonatal period. On the basis of the analysis of scientific researches modern components of caring for a child with manifestations of toxic erythema are presented. Ensuring early breastfeeding, promoting the physiological formation of the microbial barrier of the skin (skin care with the use of emollients), intestines (appointment, if necessary, lactobacillus GG), will not only create comfortable conditions for the baby, but also prevent the development of atopic dermatitis in future.