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Consensus on Neonatal Through Preadolescent Acne
Insights
Pediatric acne requires careful attention, with specific age categories defined for diagnosis and management. Healthcare providers should monitor for endocrine issues and consider newer treatments for children over nine.
Area of Science:
- Dermatology
- Pediatrics
Background:
- Pediatric acne, a common dermatological issue, can manifest from infancy and requires age-specific categorization.
- It may indicate underlying pathologies, necessitating vigilant monitoring in children.
Framework:
- An expert panel developed consensus statements on neonatal through preadolescent acne.
- A systematic literature review informed the consensus on diagnosis, prevention, and treatment.
Implementation:
- Seven consensus statements were established, defining pediatric acne by age: neonatal (birth-8 weeks), infantile (8 weeks-1 year), mid-childhood (1-7 years), preadolescent (7-12 years), and adolescent (12-19 years).
- Emphasis is placed on monitoring for endocrine-associated abnormalities, particularly in mid-childhood acne.
Implications:
- Healthcare providers need increased awareness of pediatric acne's differential diagnosis and management.
- Newer medications approved for children over nine offer potential treatment options.
Background:
Acne vulgaris is the most common dermatological disorder. Pediatric acne may be a manifestation of the underlying pathology and can occur in the first weeks, months, or years of life. Acne in childhood can be categorized by age and pubertal status.
Objective:
An expert panel of pediatric dermatologists and dermatologists developed a consensus paper on neonatal through preadolescent acne, providing information on differential diagnosis, prevention, treatment, and maintenance of the condition.
Methods:
A systematic literature review explored present clinical guidelines, treatment options, and therapeutic approaches addressing neonatal through preadolescent acne. The information from the literature searches was used together with the panel’s expert opinion and experience to adopt consensus statements following established standards.
Results:
The panel members reached unanimous consensus on seven statements addressing the various age categories of pediatric acne: neonatal acne: birth to ≤ 8 weeks; infantile acne: 8 weeks to ≤1 year; mid-childhood acne: 1 year to <7 years; preadolescent acne: ≥7 to 12 years; adolescent acne: ≥12 to 19 years or after menarche for girls. Health care providers treating children need to pay more attention to pediatric acne and should monitor the risk of endocrine-associated abnormalities, especially in mild-childhood acne. When prescribing acne treatment, newer medications approved for use in children older than nine years of age may offer a suitable option.
Conclusion:
The differential diagnosis of pediatric acne, as well as its treatment and maintenance, requires much more attention and consideration from health care providers treating children. J Drugs Dermatol. 2020;19(6):592-600. doi:10.36849/JDD.2020.5065.
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