follow @PCDSUKCreated: 10th November 2011 | Last Updated: 23rd November 2014
Introduction
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Prepubertal acne is relatively common, and is generally not associated with significant underlying endocrinopathy. |
Related chapters |
Aetiology
- There are usually no significant underlying endocrinopathies and, in the absence of precocious puberty or other developmental abnormalities, investigations are not needed
History
- It is more common in boys and presents between the ages of three and 18 months, and may last up to the age of three years
Clinical findings
- The severity is usually mild-moderate but occasionally can be severe
- The face is the most frequently affected site, often with a mixture of comedones, papules and pustules
- Nodules and scarring occasionally occur
Images
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Figure: 1 Neonatal acne |
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Figure: 2
Infantile acne |
Management
- Topical retinoids and/or benzoyl peroxide and, if necessary, oral erythromycin
- Tetracyclines must be avoided because of the risk of permanent tooth discoloration
- On occasions acne can be severe with nodules or scarring, such patients should be referred urgently to a dermatologist for consideration of treatment with isotretinoin