Case 2 is a breastfeeding six-week-old male patient with mild comedonal acne, a common condition managed by a pediatrician, who addressed parenteral concerns, and the safety and use of CERs-containing baby products.
Case 3 is a 6-month-old male patient with infantile acne presenting occasional comedonal and minor papular-pustular acne. This challenging case was treated with 2.5% BPO, and a topical antibiotic was added if needed-skincare comprised of CERs-containing acne foaming wash and baby ointment.
Preadolescent Acne
Preadolescent acne occurring in children at 7 to 12 years of age, or up to menarche for females12,13,15,18,22 has become more common; however, only a few epidemiological studies have been conducted in this population.17,19 Patients with preadolescent acne may experience psychological stress due to unfavorable perceived appearance changes, an increased social impairment, and even mental health problems.3,4,23,24 The patients’ concerns may differ from parental concerns.5,6
This type of acne often presents as comedones, covering the central forehead or the central part of the face, e.g., the brow, nose, lips, and even ears.5,6 Early diagnosis and prompt initiation of treatment may prevent emotional stress and possible sequelae. Moreover, effective treatment and maintenance may prevent severe facial scarring from preadolescent acne.5,6,18 Four preadolescent acne patient case profiles and approaches are discussed in Table 4.