[eduardshraibman]

педиатры обычно сталкиваются с акне новорожденных и акне подростов и часто плохо осведомлены, что делать с акне у детей в возрасте 4-6 мес или 5-7 лет.Вот попалась статья , кот.немного обьясняет различие подходов
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Pediatric acne can be divided into five subgroups: neonatal, infantile, midchildhood, preadolescent and adolescent. Neonatal acne is common, affecting 20% of infants younger than six weeks. It is an inflammatory response to the saprophytic yeast Malassezia and is not true acne. It presents with inflammatory papules and pustules, is more common in boys, resolves by four months of age and rarely requires treatment.
Infantile acne has a similar lesion distribution and male predominance but includes comedones, nodules and cysts. In rare instances in which infantile acne is severe and persistent, or when additional signs of virilization are noted, underlying endocrinopathies must be considered. It presents later (age 3–16 mo) and is much less common, affecting less than 2% of children. Infantile acne may persist for one to two years and has been linked to an increased incidence and severity of adolescent acne.
All cases of acne presenting in midchildhood (age one to seven years) should be investigated for hyperandrogenism.
Unlike neonatal acne, infantile acne can result in scarring. The risk of scarring is difficult to estimate but increases with severity of acne and in patients with darker skin. Early and effective treatment of substantial infantile acne can reduce that risk.
Topical treatments are effective in mild cases of infantile acne consisting of comedones and pustules and include benzoyl peroxide, retinoids, azelaic acid and antibiotics. Oral antibiotics (erythromycin or trimethoprim) or oral isotretinoin can be used for severe infantile acne involving deep nodules and cysts