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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.
Objectives:
To study the biochemical, metabolic and hormonal profile among children presenting with acne and to determine the correlation of these parameters with acne grading.
Methods:
The observational cross-sectional study was conducted for a duration of 18 months on a total of 50 children between 1 and 12 years of age with clinical features of acne. The detailed information regarding the type of acne, biochemical profile (lipid profile, blood sugar levels), hormonal profile and associated illnesses were recorded. Spearman's rank correlation coefficient was used to find out the correlation of acne grading with hormonal and metabolic changes.
Results:
The mean age of the children was 11.4 years. Among the various lesions, comedones were seen in 98% cases, papules in 94.00% cases, a scar in 14.00% and pustule in 4.00% cases. As compared to children of age 1-7 years, those in age group 8-12 years had significantly more comedones (48 vs 1, P = 0.04), significantly fewer pustules (0.00% vs 100.00%, P = 0.001), and a comparable number of papules and scars. Most of the children (88.00%) had acne vulgaris grade 1. There was a significant negative correlation of Blood sugar-fasting (r = -0.312, P = 0.0275) and a significant positive correlation of HDL (r = 0.28, P = 0.0491) with acne grading.
Conclusion:
Comedones and papules are the commonest and the earliest forms of pediatric acne. Severe forms of acne are rarely seen below 12 years, age group. Preadolescent acne is commoner than mid-childhood acne, with no difference between male and females. Blood sugar levels and lipid profile derangements have a weak correlation with acne grading.
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