Medical knowledge, Patient Education
Baby Acne
Baby acne are common rashes that can form at any time during a baby’s first year of life. Baby acne usually forms on the face, especially on the forehead, nose, and cheeks. Acne may also form on the neck and on the upper part of the chest or back.
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Neonatal acne. This forms before 6–8 weeks of life. One kind is called neonatal cephalic pustulosis (NCP).
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Infantile acne. This forms after 6–8 weeks of life.
What are the causes?
The exact cause of this condition is not known. It may be caused by a type of skin yeast or a hormone problem.
What are the signs or symptoms?
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Raised red–pink bumps.
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Small bumps filled with pus.
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Tiny whiteheads or blackheads.
Baby acne is more common in male babies.
How is this diagnosed?
Baby acne is usually diagnosed based on a physical exam. Sometimes, blood tests are done to help find if another condition is causing the acne. Your baby may have a blood test if the acne is severe or they are older when they get acne.
How is this treated?
Mild baby acne usually does not need treatment. The rash usually gets better by itself.
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A cream that kills fungus (antifungal cream).
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An antibiotic cream.
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A medicine like vitamin A (retinoid).
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A lotion that kills germs (benzoyl peroxide).
Follow these instructions at home:
Medicines
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Give or apply over-the-counter and prescription medicines only as told by your baby’s provider.
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If your baby was prescribed an antibiotic or antifungal cream, use it as told by your baby’s provider. Do not stop using the cream even if your baby’s condition improves.
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Do not use baby oils, lotions, or over-the-counter ointments unless told by the provider. These may make acne worse.
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Do not give your child aspirin because of the link to Reye’s syndrome.
General instructions
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Clean your baby’s skin gently with mild soap and clean water. Do not scrub your baby’s skin.
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Keep the places with acne clean and dry.
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Do not rub or squeeze the bumps.
Contact a health care provider if:
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Your baby’s acne gets worse with home treatment, especially if the bumps get large and red.
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Your baby gets scars.
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Your baby’s acne gets infected. Signs of infection include:
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Redness, swelling, or pain.
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Fluid or blood.
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Warmth.
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Pus or a bad smell.
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Get help right away if:
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Your child who is 3 months to 3 years old has a temperature of 102.2°F (39°C) or higher.
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Your child who is younger than 3 months has a temperature of 100.4°F (38°C) or higher.
This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider.
