OVER THE PAST few years, a series of investigators proposed that a common pustular eruption of neonates, called neonatal acne, was in fact a noncomedonal pustular condition associated with Malassezia species.1-6 Bernier et al7 have undertaken an informative examination of this association in their article titled "Skin Colonization by Malassezia Species in Neonates: A Prospective Study and Relation With Neonatal Cephalic Pustulosis." The article raises several issues concerning the pathogenesis, clinical pattern, and appropriate terminology of pustular and acneiform lesions in neonates.