Infantile acne is a medical problem that calls for therapy

1Khalifa E Sharquie, MD,PhD,FRCP Edin; 2Hamed A Al Farhan, MD,DD; 3Wisam S Najim, MD,FICM; 4Raed I Jabbar, MD ,CABD.

1Department of Dermatology, College of Medicine, University of Baghdad, Medical City Teaching Hospital,Baghdad ,Iraq. 2,3Deprtment of Dermatology, College of Medicine ,Tikrit University, Iraq. 4Department of Dermatology ,Fallujah Teaching Hospital ,Al-Anbar Health Directorate , Anbar , Iraq.

Background: Acne vulgaris of infants is a well-recognized medical and cosmetic problem as it may cause severe scarring of the face. Hence medical treatment is essentially needed.

Objective: To record all patients with infantile acne vulgaris and to do full demographic and clinical evaluation.

Patients and methods:This is case series clinical descriptive study with interventional  therapeutic trial that included all patients with infantile acne vulgaris that were seen during the period from Jan 2021 – September 2021 years. All demographic and clinical features were recorded. The clinical  scoring of acne severity was done as follow:mild when the rash was mainly comedones,moderate mainly papules and pustules and severe mainly nodules and scarring. Any triggering factors were recorded including hormonal changes. Therapy was started by giving topical 2% clindamycin twice a day and oral trimethoprim-sulfamethoxazole suspension one teaspoonful twice a day for 1-2 months.

Results: This study included 28 patients with infantile acne, with 19(67.86%) males and 9(32.14%) females with male to female ratio;2.1. The age of patients ranged from 1-24 months, with a mean 14.6 ±6.1.The duration of rash was ranged from 4-8 weeks. The commonest sites affected were cheeks in 27(96.4%) cases, followed by forehead in 8 (28.6%), then chin in 6 (23.1%), and nose 6 (23.1%) of the cases. Scoring of severity of acne showed moderate in 13(46.4%), followed by mild in 9 (32.1%), and sever in 6 (21.4%). The response to treatment was complete clearance in 15(53.6%) and partial response in 13(46.4%) of the patients while no adverse effects were observed.

Conclusions: Infantile acne is not uncommon disease among infants where medical therapy is essentially needed especially in severe cases as to prevent facial scarring. Early diagnosis and treatment with oral trimethoprim-sulfamethoxazole suspension and topical 2% clindamycin lotion is an effective mode of therapy.

Keywords: Infantile acne, therapeutic trial ,clindamycin ,trimethoprim-sulfamethoxazole

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How to cite this article:
Khalifa E Sharquie, Hamed A Al Farhan, Wisam S Najim, Raed I Jabbar. Infantile acne is a medical problem that calls for therapy. .American Journal of Dermatological Research and Reviews, 2022, 5:49. DOI: 10.28933/ajodrr-2021-10-1805


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