Epstein pearlsDefinition: Epstein pearls are�whitish-yellow�protein-containing cysts on the gums and hard palate of a newborn baby. See also milia.
Alternative Names: Gingival cysts of the newborn
Causes, incidence, and risk factors: Epstein pearls occur only in the newborn and are very common, seen in approximately 80% of newborns. On the gums, they sometimes resemble emerging teeth. The condition is harmless although it sometimes worries new mothers.
Symptoms: - Whitish-yellow nodules appearing on the gums or the roof of the mouth in a newborn
Signs and tests: Examination of the infant confirms that these are Epstein pearls and not teeth present at birth (natal teeth).
Treatment: No treatment is necessary.
Expectations (prognosis): Epstein pearls disappear within 1 to 2 weeks of birth.
Complications: There are often no complications.
Calling your health care provider: If you are concerned about Epstein pearls in your infant, discuss it with your health care provider during a routine well-baby examination.
References: Stephan M. Common newborn dermatologic conditions. Clin Fam Pract. 2003 Sep; 5(3); 535. Conlon JD. Skin lesions in the neonate.� Pediatr Clin North Am. 2004; 51(4): 863-88, vii-viii.
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