nemoci-sympt/DERMATOLOGIE/akne/akne-novorozence

Příčiny

• By exposure to the mother's hormones [1]
• Stimulation of sebaceous glands by maternal or infant androgens [2]

Symptomy

• Red bumps, sometimes with white dots in the center
• May be seen on a newborn's face
• Acne usually occurs between 2 and 4 weeks of age, but may appear up to 4 months after birth and can last for 12 - 18 months
• Vlastně tedy po celou dobu kojení
• Acne neonatorum usually resolves within four months without scarring. [3]

Terapie

• žádná
• Normal washing is usually all that is necessary [1]
• Use plain water or mild baby soap [1]
• Bathe your baby every 2-3 days [1]
• Avoid acne medicines used by adolescents and adults [1]
• U silnějších projevů (if lesions are extensive and persist for several months):
• Topical tretinoin [2]
• Topical 2.5% benzoyl peroxide lotion [2, 3]
• Topical and oral erythromycin [2]
• Vážné formy - (recalcitrant infantile cystic acne)
• Oral isotretinoin (Accutane) [2]
• The dose used ranged from 0.2 mg/kg/day to 1.5 mg/kg/day [2]
• Treatment duration varied from 5 to 14 months [2]
• Careful monthly monitoring is recommended [2]

• Severe, unrelenting neonatal acne accompanied by other signs of hyperan-drogenism should prompt an investigation for:
• Adrenal cortical hyperplasia
• Virilizing tumors
• Underlying endocrinopathies [3]

Diferenciální diagnoza

• Erythema toxicum neonatorum
• Neonatal pustular melanosis
• Candida infections
• Viral infections
• Bacterial infections
• Miliaria rubra (heat rash) - potničky
• Seborrheic dermatitis
• Atopic dermatitis

Literatura: