Herpes neonatorum. Most neonatal infections occur at the time of delivery. Risk for vertical transmission from mothers with a primary infection is approximately 50%. Women with a primary infection are 10-30 times more likely than those with recurrent infection to transmit the virus to their infants. Unfortunately, approximately two thirds of women who acquire infection during pregnancy are asymptomatic.
Figure 1 and 2: Unilateral Grouped Vesicles on an erythematous base. herpes zoster in infants is very rare but can develop following postnatal exposure to VZV - See more at: http://archive.ispub.com/journal/the-internet-journal-of-dermatology/volume-9-number-1/herpes-zoster-in-a-4-month-old-infant.html#sthash.l0EmrmBU.dpuf
Milia are benign, self-limited lesions that usually appear in the first 4-5 days of life in term newborns. In PT infants lesions may be delayed for weeks or months. 40% of infants develop milia. There is no racial or sexual predilection. Lesions present as 1- to 2-mm white cysts on the forehead, nose, upper lip, and cheeks. They are referred to as Epstein pearls when present on the soft or hard palate. Most lesions disappear without scarring by 1-2 months of age.
Progression of hemangioma (4) Most lesions require no medical or surgical intervention. However, treatment options include glucocorticosteroids, interferon alpha, or laser surgery. Surgical excision may be necessary but has significant risks in the proliferation phase. Consultations with ophthalmology, otolaryngology, plastic surgery, and/or neurosurgery should be obtained on a case-by-case basis.