Infantile Acne. Presented by Drs. Irwin Kantor and David Yep.
The patient is 9-month-old, white child. Since 1-week-old, the patient began to develop blackheads on both cheeks and chin. Pustules have also been present. Occasionally, there was some clearing. There was no history of having had oil or grease rubbed on the cheeks. During pregnancy, the mother did not take any drugs except vitamins. The mother had acne in her teens.
Multiple blackheads and some pustules on both cheeks and chin.Discussion
Dr. Carl Nelson:
The child seems to have carotenemia.
Dr. D. Torre:
We questioned the mother about the carrot intake, and although the child does not like carrots, she will eat them mixed with other vegetables. She does like squash, which is a yellow vegetable. I was wondering whether this was possibly a squash pigmentation.
Dr. Lewis Shapiro:
One should distinguish between two varieties of infantile