Acne in Children
Acne in children is not a common condition and has a male predominance.
Grouped comedones, papules, pustules, and nodules can occur alone or in any combination, usually limited to the face. The duration is variable, from a few weeks to several years, and occasionally extends into more severe pubertal acne. Often there is a strong family history of moderately severe acne.
Acne in children includes those cases that persist beyond the neonatal period or have an onset after the first 4 weeks of life.
In any child with unusually severe or persistent acne, a thorough history and examination should be performed, and diagnostic studies for abnormal androgen production considered. In children between 2 and 7 years of age, acne is unusual and hyperandrogenemia should be ruled out based on thorough examination and laboratory testing. In this age group, diagnostic possibilities may include premature adrenarche (increase in activity of the adrenal glands just before puberty), mild forms of congenital adrenal hyperplasia (a group of inherited genetic conditions that limit your adrenal glands’ ability to make certain vital hormones), gonadal (an ovary or testis) or adrenal (kidney glands) tumors, Cushing’s syndrome (a condition in which your body produces too much of the hormone cortisol), and true precocious puberty.
Characteristic features indicating androgen excess in children with acne include:
- Body Odour
- Axillary Hair
- Pubic Hair
- Clitoromegaly (an abnormal enlargement of the clitoris)