Zusammenfassung
Die Akne im Kindesalter umfasst klinische Erscheinungsformen, die von Geburt an, in den ersten Lebenswochen oder nach dem 3.–6. Lebensmonat auftreten. Sie ist physiologisch oder pathologisch und bedarf dann einer endokrinologischen Abklärung und Therapie. In manchen Fällen ist sie durch Arzneimittel oder Pflegemittel induziert oder auch Ausdruck einer Intoxikation. Schwere Verläufe mit Neigung zur Vernarbung sind bereits im Kindesalter möglich. Die Akne im Kindesalter kann persistieren und in eine juvenile Akne übergehen. Sie stellt offenbar einen Risikofaktor für die Entwicklung einer schweren Akne in der Pubertät dar.
Abstract
Childhood acne has different clinical expressions which may be present from birth or manifest within the first weeks of life or after the third to sixth month of life. The condition may occur as a physiological phenomenon or may be pathological and require endocrinologic evaluation and treatment. It may be induced by drugs or ointments or due to intoxication. Severe courses with a tendency to scarring in childhood may be observed. Childhood acne may persist and develop into juvenile acne. It is likely that childhood acne may represent a risk factor for the development of severe acne in puberty.
Literatur
Arbegast KD, Braddock SW, Lamberty LF, Sawka AR (1987) Treatment of infantile cystc acne with oral isotretinoin: a case report. Pediatr Dermatol 8:166–168
Berlin C (1954) Acne comedo in children due to paraffin oil applied on the head. Arch Dermatol 69:683–687
Bernier V, Weill F, Hirigoyen V et al. (2002) Skin colonization by Malassezia species in neonates: a prospective study and relationship with neonatal cephalic pustulosis. Arch Dermatol 138:215–218
Blatt J, Lee PA (1993) Severe acne and hyperandrogenemia following dactinomycin. Med Pediatr Oncol 21:373–374
Caputo R, Monti M, Ermacora E et al. (1988) Cutaneous manifestations of tetrachlorodibenzo-p-dioxin in children and adolescents. Follow-up 10 years after the Seveso, Italy, accident. J Am Acad Dermatol 19:812–819
Chew EW, Bingham A, Burrows D (1990) Incidence of acne vulgaris in patients with infantile acne. Clin Exp Dermatol 15:376–377
De Raeve L, De Schepper J, Smitz J (1995) Prepubertal acne: a cutaneous marker of androgen excess? J Am Acad Dermatol 32:181–184
Forest MG, Cathiard AM, Bertrand JA (1973) Evidence of testicular activity in early infancy. J Clin Endocrinol Metabol 37:148–151
Jansen T, Burgdorf WHC, Plewig G (2002) Pathogenesis and treatment of acne in childhood. Pediatr Dermatol 14:17–21
Katsambas AD, Katoulis AC, Stavropoulos P (1999) Acne neonatorum: a study of 22 cases. Int J Dermatol 38:128–130
Lucky AW (1998) A review of infantile and pediatric acne. Dermatology 196:95–97
Lucky AW, Biro FM, Huster GA et al. (1994) Acne vulgaris in premenarchal girls. An early sign of puberty associated with rising levels of dehydroepiandrosterone. Arch Dermatol 130:308–314
Lucky AW, Biro FM, Huster GA et al. (1991) Acne vulgaris in early adolescent boys. Correlations with pubertal maturation and age. Arch Dermatol 127:210–216
Lucky AW, Biro FM, Simbartl LA et al. (1997) Predictors of severity of acne vulgaris in young adolescent girls: results of a five-year longitudinal study. J Pediatr 130:30–39
Oppenheimer E, Linder B, DiMartino-Nardi J (1995) Decreased insulin sensitivity in prepubertal girls with premature adrenarche and acanthosis nigricans. J Clin Endocrinol Metabol 80:614–618
Rapelanoro R, Mortureux P, Couprie B et al. (1996) Neonatal Malassezia furfur pustulosis. Arch Dermatol 132:190–193
Smith RC, Dent J, Derbes V (1953) Acneiform eruption on an infant after antepartum and neonatal cortisone therapy. Arch Dermatol 67:630
Stankler L, Campbell AG (1980) Neonatal acne vulgaris: a possible feature of the fetal hydantoin syndrome. Br J Dermatol 103:453–455
Wagner G, Schmidt KU, Mensing H (1987) Acne conglobata infantum. Akt Dermatol 13:306–307
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Jansen, T., Grabbe, S. & Plewig, G. Akne im Kindesalter. Hautarzt 57, 222–227 (2006). https://doi.org/10.1007/s00105-005-0980-z
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DOI: https://doi.org/10.1007/s00105-005-0980-z