Epstein pearls
Definition
Epstein pearls are whitish-yellow cysts that form on the gums and roof of the mouth in a newborn baby.
See also: Milia
Alternative Names
Gingival cysts of the newborn
Causes
Epstein pearls occur only in the newborn and are very common. They are seen in approximately 80% of newborns.
The pearls are protein-filled cysts. The condition is harmless, although it sometimes worries new mothers.
Symptoms
Whitish-yellow nodules appear on the gums or the roof of the mouth in a newborn. They sometimes look like emerging teeth.
Exams 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.
Outlook (Prognosis)
Epstein pearls disappear within 1 to 2 weeks of birth.
Possible Complications
There are often no complications.
When to Contact a Medical Professional
If you are concerned about Epstein pearls in your infant, discuss it with your health care provider during a routine well-baby examination.
Lowe MC Jr, Woolridge DP. The normal newborn exam, or is it? Emerg Med Clin North Am. 2007;25:921-946.
Morelli JG. Disorders of the Mucous Membranes. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF. Kliegman: Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 663.
Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
