title: Treatment of infantile cystic acne with oral isotretinoin: a case report.
abstract: Infantile cystic acne is rare, and its etiology is not clearly defined. Our patient had comedones at 2 months of age that were recalcitrant to multiple-antibiotic regimens. His condition worsened, and he was diagnosed with infantile cystic acne at 10 months of age and started on a trial of oral isotretinoin (Accutane). A five-month treatment period using doses ranging from 0.36 to 0.67 mg/kg was necessary to achieve adequate control. Oral isotretinoin may be safe and effective in cases of recalcitrant infantile acne, but we advocate close monitoring because of the well-known side effects of oral retinoids.
authors.affiliation: Department of Internal Medicine, University of Nebraska Medical Center, Omaha 68198-4360.
authors.forename: K D
authors.initials: KD
authors.lastname: Arbegast
authors.forename: S W
authors.initials: SW
authors.lastname: Braddock
authors.forename: L F
authors.initials: LF
authors.lastname: Lamberty
authors.forename: A R
authors.initials: AR
authors.lastname: Sawka
mesh_terms: D000152:Acne Vulgaris / Q000188:drug therapy* / Q000473:pathology; D002675:Child, Preschool; D006801:Humans; D015474:Isotretinoin / Q000627:therapeutic use*; D008297:Male
chemical_list: D015474:Isotretinoin