中国麻风皮肤病杂志 ›› 2019, Vol. 35 ›› Issue (7): 404-405.doi: 10.12144/zgmfskin201907404

• 论著 • 上一篇    下一篇

56例新生儿痤疮临床分析

葛宏松  周洁  曹婷婷  冉颖  董瑛  张成   

  1. 安徽医科大学儿科临床学院（安徽省儿童医院）皮肤科，合肥，230032

  • 出版日期:2019-07-15 发布日期:2019-07-11
  • 通讯作者: 葛宏松，E-mail: m18656010616@163.com

Clinical analysis of 56 cases with neonatal acne

GE Hongsong, ZHOU Jie, CAO Tingting, RAN Ying, DONG Ying, ZHANG Cheng   

  1. Department of pediatrics, Anhui Medical University (Anhui Provincial Children‘s Hospital), Hefei 230032, China
  • Online:2019-07-15 Published:2019-07-11
  • Contact: GE Hongsong, E-mail: m18656010616@163.com

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摘要： 目的：了解新生儿痤疮的临床特点，提高医生对该病的认识。方法：对近一年来我院皮肤科确诊的新生儿痤疮进行问卷调查，并对资料进行回顾性分析。结果：共收集患儿56例，其中男41例(73.21%)，女15例(26.79%)，平均发病年龄为(16.15±3.28)天，平均病程（10.0±1.32）天。炎性丘疹和脓疱47例(83.93%)，是最常见的皮损；部位均累及面颊，其中合并额头眉弓部16例。17例患儿伴发湿疹10例，血管瘤2例，无色素痣2例，太田痣1例。纯母乳喂养41例(73.2％)。47例患儿父母一方或双方有痤疮病史，14例父母或姊妹患有特应性皮炎史。21例患者曾在外院诊断为湿疹，其中16例给予糖皮质激素治疗。结论：新生儿痤疮皮损好发于面部，出生后2周至3周发病，大多数为轻度炎性丘疹和脓疱，大部分患儿父母亲在青春期有痤疮发病史。临床上易误诊为湿疹。

关键词: 新生儿痤疮, 流行病学

Abstract: Objective: To analyze the clinical characteristics of neonatal acne to better understand the disease. Methods: A questionnaire survey was conducted on the patients with neonatal acne and the data was analyzed retrospectively. Results: A total of 56 cases of neonatal acne were collected, including 41 males (73.21%) and 15 females (26.79%). The average age at onset was (16.15±3.28) days, and the average course of the disease was (10.0 ±1.32) days. Inflammatory papules and pustules (83.93%) were the most common lesions in 47 cases. Cheek involvement was seen in all the 56 cases, including involvement of brow arch in 16 cases. One of the parents had a history of acne in 47 cases and parents or sister had a history of atopic dermatitis in 14. Other diseases in the family history included eczema in 10 patients, hemangioma in 2, amelanotic nevus in 2 and Ota nevusa in one. Out of the 21 cases misdiagnosed as eczema,16 cases were treated with topical steroid. Conclusion: Neonatal acne often occurs on face, 2 to 3 weeks after birth. Most of the lesions are mild inflammatory papules. Many parents of the patients have an acne history in adolescence. Misdiagnosis is quietly common.

Key words: neonatal acne, epidemiology