Neonatal acne
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- Localization. Face
- Erythematous lesion? Erythematous lesion
- Evolution time. Chronic: more than 2 weeks
- Skin lesion. With fluid: vesicle, blister or pustule
- Surface texture. Normal/smooth
- Edges Well defined and regular
- Color. Due to blood: pink, red, purple or purple
- Distribution of lesions. Multiple widespread/scattered lesions
- Associated symptoms.
- Additional information.
Brief information
- Pediatric acne is divided into:
- neonatal acne: from birth to 6 weeks
- childhood acne: from 6 weeks to 12 months
- acne in middle childhood: between 1 year and 6 years
- pre-adolescent acne: between the ages of 7 and 12 (or menarche in girls)
- juvenile acne: between 12 and 19 years old
- Neonatal acne, also known as neonatal cephalic pustulosis, occurs in 20% of newborns.
- More common in males.
- It presents in the form of multiple inflammatory erythematous papules and/or pustules on the nose, forehead and cheeks.
- Etiology is not known: it may result from the stimulation of sebaceous glands by maternal and newborn androgens or be related to colonization by the fungus Malassezia spp.
Differential diagnosis
- Face
- malar region
- forehead
- ment
- Scalp
Treatment
- Neonatal acne is self-limiting and resolves spontaneously within 1-3 months, without leaving a scar:
- In most cases, an expectant attitude and daily cleaning with soap and water is sufficient.
- The use of oils or lotions should be avoided.
- In more severe or recalcitrant presentations, the use of:
- Ketoconazole 2%, cream, twice a day; and/or
- Hydrocortisone 1%, cream, once a day (may accelerate the resolution of lesions).