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The Many Faces of Pediatric Acne: A Practical Algorithm for Treatment, Maintenance Therapy, and Skincare
Insights
A new algorithm helps manage pediatric acne, a common skin condition in children. It guides healthcare providers on diagnosis, treatment, and maintenance, aiming to improve outcomes for young patients with acne vulgaris.
Area of Science:
- Dermatology
- Pediatrics
- Inflammatory Skin Diseases
Background:
- Pediatric acne is a prevalent, multifactorial inflammatory skin condition in children.
- Its presentation varies based on age, severity, and pubertal status.
Purpose of the Study:
- To introduce a practical algorithm for the treatment and maintenance of pediatric acne.
- To enhance patient outcomes through a structured approach to pediatric acne management.
Main Methods:
- Development of a pediatric acne algorithm by the Faces of Pediatric Acne Project (FoPAP).
- Algorithm based on consensus literature, clinical case series, and expert clinical experience.
- Algorithm covers neonatal, infantile, mid-childhood, preadolescent, and adolescent acne stages.
Main Results:
- The algorithm includes education, general prevention, treatment, and maintenance strategies.
- Emphasizes medical history, physical examination, and workup for mid-childhood acne.
- Provides guidance on prescription/nonprescription treatments, skincare, and maintenance therapy with agents like ceramides.
Conclusions:
- The pediatric acne algorithm offers a comprehensive management strategy.
- Aims to improve healthcare provider attention and outcomes for pediatric acne patients.
Background:
Pediatric acne is a common, complex, multifactorial inflammatory skin disease with various expressions in childhood that can be categorized by age, severity, and pubertal status.
Methods:
The Faces of Pediatric Acne Project (FoPAP) aims to improve patient outcomes. The FoPAP group developed an algorithm that follows a consensus paper and a clinical case series on pediatric acne by applying the selected literature and drawing from the clinical knowledge and experience of each group member.
Results:
The algorithm addresses neonatal, infantile, mid-childhood, preadolescent, and adolescent acne and starts with education on acne, general measures for prevention, treatment, maintenance, and ongoing skin care. Evaluation of pediatric acne requires a directed medical history and physical examination. For mid-childhood acne patients, a workup is warranted, and endocrine-associated abnormalities necessitate referral to a pediatric dermatologist. The second section of the algorithm identifies the type of pediatric acne, followed by the third section on acne treatment using a prescription or nonprescription treatment and skincare options. After successfully controlling the disease, maintenance treatment with topical agents and skincare using gentle cleansers and moisturizers containing lipids such as ceramides is important.
Conclusions:
The pediatric acne algorithm offers a comprehensive approach to treating and maintaining pediatric acne. In addition, it may support healthcare providers to bring more attention to pediatric acne patients and improve outcomes. Schachner LA, Andriessen A, Latanya Benjamin L, et al. The many faces of pediatric acne: a practical algorithm for treatment, maintenance therapy, and skincare recommendations for pediatric acne patients. J Drugs Dermatol. 2023;22(6):539-545. doi:10.36849/JDD.7440 .
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