Authors:Mabelle F. Colayco MD

Abstract

Introduction: Neonatal acne is a common condition affecting 20% of neonates. The condition typically presents with closed comedones, inflammatory papules and pustules, and prominent facial shine. The acne is mild and resolves within 1 to 4 months. In some instances, the condition may need treatment. However, a major consideration in treating neonatal acne is that the majority of clinical trials are conducted in patients ages 12 years or older.

Case Summary: We present a case of a three-week-old baby girl who developed prominent facial shine, comedones, erythematous papules and pustules on the scalp and face. In a span of 1 week, the lesions increased in number. The baby was started on a commercially available zinc coceth

sulfate foam wash. The wash was used daily to cleanse the affected areas of the body.

Conclusion: This case shows that an appropriate cleanser may be a good alternative to standard acne treatments in mild to moderate neonatal acne.

Citation

Colayco MF. Neonatal acne in a 3-week old infant treated with zinc coceth sulfate foam wash. J Phil Dermatol Soc 2019, 28(1), 59-61

Keywords

acne, neonatal acne, pediatric acne, zinc

Mancini A, Baldwin H, Eichenfield L, Friedlander S, Yan A. Acne lifecycle: the spectrum of pediatric disease. SeminCutan Med and Surg. 2011;30 suppl 1:S2-5.

Samcyia M, Lam J. Infantile acne. CMAJ. 2016;188(17-18):E540. doi: 10.1503/cmaj.160139

Serna-Tamayo C, Janniger C, Micali G, Schwartz R. Neonatal and infantile acne vulgaris: an update. Cutis. 2014;94 (1):13-16

Del Rosso J. The role of skin care as an integral component in the management of acne vulgaris: part 1: the importance of cleanser and moisturizer
ingredients, design, and product selection. J Clin Aesthet Dermatol. 2013;6(12):19–27.

Jansen T, Burgdorf WH, Plewig G. Pathogenesis and treatment of acne in childhood. Pediatr Dermatol.1997;14:17-21.

Antoniou C, Dessinioti C, Stratigos AJ, Katsambas AD. Clinical and therapeutic approach to childhood acne: an update. Pediatr Dermatol. 2009;26(4):373-380. doi:10.1111/j.1525-1470.2009.00932.x

Friedlander S, Baldwin H, Mancini A, Yan A, EichenfieldL. The acne continuum: an age based approach totherapy.SeminCutan Med Surg. 2011;30(1):3S.

Eichenfield L, Krakowski A, Piggott C, Del Rosso J,Baldwin H, Fallon Friedlander S, et al. Evidence-basedrecommendations for the diagnosis and treatment ofpediatric acne. Pediatrics. May 2013;131 suppl 3.S163.DOI: 10.1542/peds.2013-0490B

Del Rosso J, Gold M,Rueda MJ,Brandt S, WinkelmanW.Efficacy, safety, and subject satisfaction of aspecified skin care regimen to cleanse, medicate,
moisturize, and protect the skin of patients under treatment for acne vulgaris. J Clin Aesthet Dermatol. 2015;8(1):22–30.

Reece B, Garcia R. Acnegenicity, tolerability andcosmetic acceptability of a foaming wash. . Irving, Tx: Reliance Clinical TestingService, Inc.; 2011.

Baco D. Use of zinc cometh sulfate as an antibacterialagent against propionibacterium acnes. United Statespatent:20150196474. July 2015

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