Acne infantum
| Classification according to ICD-10 | |
|---|---|
| L70.4 | Acne infantum |
| ICD-10 online (WHO version 2019) | |
Acne infantum (synonym: Acne infantilis , acne juvenile , Säuglingsakne , Kleinkindakne ) denotes the acne in front of pubertal children. The particularly severe form, which is regularly accompanied by the formation of nodules, fistulas and scars, is called acne conglobata infantum .
Epidemiology
Acne infantum can occur as early as three to six months of age. Boys are more often affected than girls.
Symptoms
The skin changes are limited to the face and especially to the cheek region. There are many dense blackheads ( comedones ) and isolated papules and pustules . Low-lying node with melting and scarring are less common.
causes
A temporary increased production of male sex hormones ( androgens ) is discussed. If the disease is based on congenital, temporary hyperplasia of the adrenal glands , normalization can be expected within 6 to 9 months.
The clinical picture also occurs as a symptom of hormone-producing tumors or as part of the adrenogenital syndrome , which must therefore be carefully excluded.
therapy
General treatment measures include mild skin cleansing and avoidance of greasy ointments. Local treatment with preparations containing azelaic acid is sometimes recommended. Benzoyl peroxide and adapalene are mentioned as therapeutic alternatives . Since small children and especially infants have a much thinner skin than adolescents or adults, which significantly increases the absorption of active ingredients through the skin, strict attention must be paid to concentration and duration of use. Cases with severe pustules may require systemic antibiotic therapy (e.g. with erythromycin ). In the case of acne conglobata infantum, systemic treatment with isotretinoin may be indicated in individual cases .
See also
Individual evidence
- ↑ a b c d P. Altmeyer, M. Bacharach-Buhles: Acne infantum. In: dermatology, venereology, allergology, environmental medicine. Springer, 2002, ISBN 3-540-41361-8 , p. 15. Online full text
- ↑ a b c DERMIS.net - with pictures ( memento of the original from June 18, 2008 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.
- ↑ CE Orfanos, C. Garbe: 16.9.1 Acne infantilis and Acne juvenilis. In: Therapy of skin diseases. 2nd Edition. Springer, 2002, ISBN 3-540-41366-9 , pp. 396/397.
- ↑ a b c D. Reinhardt: 120.1.3 Acne infantum. In: Therapy of diseases in childhood and adolescence. 8th edition. Springer, 2008, ISBN 978-3-540-71898-7 , p. 1489.
- ↑ C. Becker: Acne: pustules even in the smallest. In: Pharmaceutical newspaper. 04/2006, Govi-Verlag Pharmazeutischer Verlag. (Full text)
- ↑ H. Schulz: Acne. The right therapy for pimples and pustules. In: pediatrics up close. 6, 2000, pp. 245-250, Urban & Vogel. (Full text) ( Memento from August 16, 2010 in the Internet Archive )
