An Observational Study of Clinical, Metabolic and Hormonal Profile of Pediatric Acne

Vipul Pareek1, Niti Khunger1, Shobha Sharma2

  • 1Department of Dermatology and STD, VMMC and SJH, New Delhi, India.

Insights

Pediatric acne, common in children aged 1-12, primarily presents as comedones and papules. While blood sugar and HDL levels show a weak correlation with acne severity, severe acne is rare in this age group.

Area of Science:

  • Pediatric Dermatology
  • Biochemistry
  • Endocrinology

Background:

  • Acne vulgaris is a common skin condition in children, with varying presentations and severity.
  • Understanding the biochemical, metabolic, and hormonal factors associated with pediatric acne is crucial for effective management.

Purpose of the Study:

  • To investigate the biochemical, metabolic, and hormonal profiles of children with acne.
  • To determine the correlation between these profiles and the grading of acne in pediatric patients.

Main Methods:

  • An observational, cross-sectional study was conducted over 18 months.
  • Fifty children aged 1-12 years with clinical acne features were assessed for acne type, biochemical profile (lipid profile, blood sugar), and hormonal profile.
  • Spearman's rank correlation was used to analyze the relationship between acne grading and metabolic/hormonal changes.

Main Results:

  • Comedones (98%) and papules (94%) were the most frequent acne lesions.
  • Children aged 8-12 years had significantly more comedones and fewer pustules compared to younger children (1-7 years).
  • A significant negative correlation was found between fasting blood sugar and acne grading (r = -0.312, P = 0.0275), and a significant positive correlation between HDL and acne grading (r = 0.28, P = 0.0491).

Conclusions:

  • Comedones and papules are the predominant early signs of pediatric acne.
  • Severe acne is uncommon in children under 12 years old, with preadolescent acne being more prevalent than mid-childhood acne.
  • Metabolic factors, including blood sugar levels and lipid profiles, exhibit a weak correlation with the severity of acne in children.
Abstract

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