Neonatal acne rarely presents signs of sexual precocity, virilization, or growth abnormalities.5,6,10-13 Significant neonatal acne may be due to an underlying endocrinologic disease, tumor, or other gonadal/ovarian pathology.5,6 These patients require a workup and a referral to a pediatric endocrinologist.5,6 Neonatal acne typically resolves over a few months without scarring.5 For more complicated cases, off-label topical therapies may be considered.5,6,10-14
CASE 1
A 3-week-old breast- and formula-fed male with neonatal acne on the face and atopic dermatitis (AD) on the scalp (Table 1). Previously, an oatmeal-containing moisturizer was used daily on the boy's face and scalp. The physician informed the parents about the hormonal influences causing the facial eruptions and the presence of AD.5,6,10-14,18 The aim was to establish a skincare regimen using a ceramide-containing baby wash and shampoo and baby moisturizing lotion and cream to promote a healthy skin barrier.14-18 No further treatment was deemed necessary.5,6,10-14 The new parents were receptive to the specific skincare recommendations that cleared acne and AD. After clearance, they continued using the skincare regimen.
CASE 2
A 1-month-old male with neonatal acne on the face, mainly on the cheeks. No skin care was used upon presentation. The treatment comprised hydrocortisone acetate cream 2.5% and econazole nitrate cream 1% for 14 days. Upon follow up, the parent noted no improvement, and as a result, both creams were discontinued. The parent’s education on this condition's transient and treatable nature was followed by the recommendation of a ceramide-containing baby wash and salicylic acid-containing moisturizer cream, which cleared
the neonatal acne.
the neonatal acne.
