The Many Faces of Pediatric Acne: A Practical Algorithm for Treatment, Maintenance Therapy, and Skincare Recommendations for Pediatric Acne Patients

June 2023 | Volume 22 | Issue 6 | 539 | Copyright © June 2023


Published online May 25, 2023

Lawrence A. Schachner MD FAAD FAAPa, Anneke Andriessen PhDb, Latanya Benjamin MD FAAD FAAPc, Madelyn Dones MD FAAPd, Leon Kircik MD FAADe, Ayleen Pinera-Llano MD FAADf, Adelaide A. Hebert MD FAADg

aDepartment of Dermatology and Cutaneous Surgery, Department of Pediatrics,
Leonard M. Miller School of Medicine, University of Miami, FL
bRadboud UMC, Nijmegen and Andriessen Consultants, Malden, The Netherlands
cDepartment of Women's and Children's Health, Florida Atlantic University, Boca Raton, FL
dBaptist Health Hospital and Nicklaus Childrens' Hospital, Miami, FL
eIcahn School of Medicine, Mount Sinai, New York, NY; Indiana University Medical Center, Indianapolis, IN;
Physicians Skin Care, PLLC, Louisville, KY; DermResearch, PLLC, Louisville, KY
fKing Bay Pediatrics and Nicklaus Children's Hospital, Miami, FL
gDepartment of Dermatology and Pediatrics, McGovern Medical School, and Children's Memorial Hermann Hospital, Houston, TX



Status of the Project
The Faces of Pediatric Acne Project (FoPAP) aims to improve outcomes for pediatric patients with acne by giving it more attention from healthcare providers who treat children. The FoPAP group (advisors) developed practical clinical tools for pediatric acne treatment and maintenance to support healthcare providers in achieving better outcomes for their pediatric acne patients.

The advisors published a consensus paper on neonatal through preadolescent acne.6  This publication was followed by a paper that defined various expressions of pediatric acne to help educate and tailor nonprescription acne treatment and skin care using cleansers and moisturizers as mono or adjuncts to prescription treatment.10,18 The advisors then shared their clinical experience with a pediatric acne patient case series publication that described treatments and maintenance approaches, including skin care, to address the knowledge gap in prescription and nonprescription acne treatments and skincare products for pediatric acne.10,18 The current pediatric acne algorithm offers a comprehensive approach to treating and maintaining pediatric acne and includes recommendations on prescription medications, nonprescription acne treatment products, and skin care. 

MATERIALS AND METHODS

The algorithm serves pediatric dermatologists, pediatricians, and other healthcare professionals caring for pediatric acne patients. 

Role of the Panel
The advisors (pediatric dermatologists, dermatologists, and pediatricians) have extensive experience and knowledge in treating pediatric acne patients and convened a meeting on August 13, 2022. First, they reviewed and discussed the literature on prescription and nonprescription acne treatment and skin care using cleansers and moisturizers for pediatric acne patients. The advisors then developed an algorithm applying the selected literature and drawing from the clinical knowledge and experience of each group member.

Literature Review
A structured literature search used keywords related to pediatric acne treatment and maintenance. Prior to the meeting, literature was culled on current best practices in pediatric acne, addressing prescription and nonprescription acne products and skin care as monotherapy, adjunctive, and maintenance treatment. Searches were performed on PubMed and Google Scholar on July 5th and 6th, 2022, by a dermatologist and a physician/
Close Menu