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Neonatal acne - Skin
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Neonatal acne - Skin

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Contributors: Craig N. Burkhart MD, Dean Morrell MD, Lowell A. Goldsmith MD, MPH, Nancy Esterly MD
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Synopsis

This summary discusses acne in neonates. Acne in infants and acne vulgaris in adults and children are addressed separately.

Neonatal acne, or neonatal cephalic pustulosis, is a very common acneiform eruption occurring on the face of neonates (ages 0 to 6 weeks). Many separate these two conditions as the following: neonatal cephalic pustulosis for a solely papulopustular eruption, often associated with Malassezia species; and neonatal acne for eruptions that include open comedones or nodulocystic lesions. This distinction is usually academic, as both tend to be very mild and spontaneously resolve by age 3-6 months without residual sequelae.

Codes

ICD10CM:
L70.4 – Infantile acne

SNOMEDCT:
49706007 – Infantile acne

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Pustular eruptions in a well-appearing neonate:
Note: Pustules in neonates are usually innocuous and self-limited; however, several life-threatening conditions may present with vesicles or pustules. Therefore, accurate and prompt diagnosis is essential.

Pustular eruptions in a toxic-appearing neonate:

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Therapy

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Last Updated: 10/16/2017
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Neonatal acne - Skin
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Neonatal acne : Cheek, Erythema, Forehead, Pustule, Tiny papule
Clinical image of Neonatal acne
Multiple tiny pustules and papules and a few interspersed closed comedones, on a background of erythema on the central face.
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