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[Acne neonatorum/acne infantum]
1Medicinsk afdeling, dermatologisk ambulatorium, Amtssygehuset Roskilde. eholm@dadlnet.dk
Insights
Severe acne in infants, though uncommon, requires specific treatment. A ten-month-old boy with severe acne experienced complete clearance with oral isotretinoin, highlighting its efficacy in pediatric cases.
Area of Science:
- Pediatric Dermatology
- Dermatology
- Neonatal and Infant Care
Background:
- Acne vulgaris is typically associated with adolescence.
- Neonatal acne (acne neonatorum) affects 20% of newborns but is usually mild.
- Infantile acne can present with more severe skin lesions.
Observation:
- A case study of a ten-month-old boy with severe acne vulgaris is presented.
- The infant had no other underlying systemic diseases.
- Initial treatments included systemic erythromycin and topical isotretinoin gel with moderate success.
Findings:
- Complete resolution of severe infantile acne was achieved with oral isotretinoin at a dosage of 0.5 mg/kg.
- This dosage proved highly effective in clearing the persistent skin eruption.
Implications:
- Oral isotretinoin is a viable and effective treatment for severe infantile acne.
- Early and aggressive treatment may be necessary for severe pediatric acne cases.
- Further research into pediatric acne treatment protocols is warranted.
Abstract:
Acne is generally considered to be a disease of adolescence. However 20% of newborns have acne neonatorum, which may to be overlooked because it is usually mild and transient. Acne can also be seen in infants and children, where the skin lesions are normally more severe. We describe a case of a ten-month-old boy with severe acne without other underlying diseases. Treatment with systemic erythromycin and local application with isotretinoin gel was moderately successful, but the eruption cleared when treated with isotretinoin 0.5 mg/kg.