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Pediatric Acne Is Becoming More Common

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Acne, a common skin problem usually associated with teens, is occurring more often in preadolescent children, including kids as young as age 7. Puberty brought on by a rise in hormones is the typical cause of teen acne. But with puberty starting in some children at younger ages, dermatologists are seeing more cases of early acne in both boys and girls.

If acne is severe or negatively affecting your child's self-esteem, there is no need for him or her to suffer. Learning more about the causes and treatments available can get your child the early help that can prevent more severe acne in the future.

Where Breakouts Occur

What is referred to as preadolescent, or pediatric, acne usually appears on the T-zone – the forehead, nose, and chin. Although most kids don't get acne before age 11, or the onset of puberty, the condition can affect children at any age. While younger children usually have milder cases of acne, it's important to get the condition under control to keep it from getting worse during the adolescent years.

What Causes It

An increase in male sex hormones (adrenal androgens) in males and females during puberty causes the sebaceous glands to release more sebum (an oil that lubricates the skin and hair), clogging pores with oil and dead skin cells. This creates an environment where bacteria can grow and cause inflammation. Clogged pores can lead to whiteheads, blackheads, small pustules, or cysts.

Although an increase in hormone production and heredity are key factors causing most forms of acne, external elements that may have an effect on the body's hormone levels include:

  • Synthetic forms of hormones in drugs

  • Synthetic hormones given to poultry and livestock to make the animals grow faster and bigger, and dairy cows to make them produce more mild

  • Flame-retardant chemicals

  • Chemical phthalates used to make plastics harder

Whether exposure to chemicals and artificial hormones in the environment is causing earlier onset of puberty in children, pediatric acne is becoming more common.

Treatment Options

Treatment of pediatric acne generally involves the use of over-the-counter benzoyl peroxide creams, gels, and cleansers for mild cases of acne. For more severe acne, your child's doctor or a dermatologist may recommend treating the condition with low doses of oral antibiotics to slow the growth of bacteria and/or prescription topical treatments including retinoids (vitamin A derivatives) to kill bacteria. Dry skin and skin irritation are common side effects of topical medications.

Additional treatment tips include:

  • Your child gently washing his or her face twice daily – scrubbing can make acne worse

  • Use of alcohol-based rather than oil-based sunscreens

  • Wearing a cap or hat outdoors to protect skin that has been affected by acne from exposure to the sun; otherwise even acne that had been treated successfully can leave brown spots behind

For more information, contact a professional like East Carolina Dermatology and Skin Surgery, PLLC.

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7 January 2016