Acne infantum

Last Updated: 2021-11-19

Author(s): Anzengruber, Navarini

Acneiform lesions appearing in infants (M > F) between 3-6 months of age.

  • Unclear.
  • Possibly testosterone release from the gonads.

Papules, pustules, comedones, partly also inflammatory nodules.

  • Anamnesis.
  • Clinical appearance.

No therapy needed.


In persistent cases, topical treatment, as in adults:

Topical therapy:

  • Skinoren
  • Benzoyl peroxide
  • Clindamycin

If there is persistence of findings with topical therapy:

  • Erythromycin 2x 125 mg p.o.
  1. Scheibenreiter S. Acne infantum. Z Kinderheilkd. 1967;99(3):195-8
  2. Harde V, Müller M, Sippell WG, Schwarz T, Fölster-Holst R. Acne infantum as presenting symptom of congenital adrenal hyperplasia due to 11-beta-hydroxylase deficiency. J Dtsch Dermatol Ges. 2006 Aug;4(8):654-7.