infantile acne

Question 1

Infantile acne age of onset and natural course:

Answer 1

• starts at 3-6 months
• resolves by 2-3 years

Question 2

pathogenesis of infantile acne:

Answer 2

hormonal imbalance (hyperandrogenism)

Question 3

Infantile acne vs neonatal acne:

Answer 3

Infantile is more severe and persistent and can result in scarring

Question 4

Treatment for infantile acne:

Answer 4

• often necessary to prevent scarring
• same options as neonatal acne (gentle face wash, topical tret, topical antibiotics, BP wash, isotret or oral antibiotics for severe)

Question 5

If acne arises between ages 1-7 and signs of pubertal development are noted, next step is:

Answer 5

endocrinology workup (DHEAS, androstenedione, 17-OH-progesterone, bone age)