Most of us remember the problem
caused by acne when we were teenagers, which can be anywhere from a minor
annoyance to (more rarely) a major medical problem. Many parents, however, are
surprised at how young acne starts now in their children. Make no mistake:
Preteen acne is occurring earlier and no one is absolutely sure why.
Acne
is a hormonal disease. It occurs in response to changes in the oil glands of
the face and body that occur before and during puberty. Many parents are
surprised to know that puberty is occurring earlier to children these days,
especially for girls who often develop acne early as young as 8 or 9 years old.
There are many theories on why
children are entering puberty (and getting acne) before. Antibiotics and
hormones used in cows that produce meat and milk are a common concern. Organic
meat and non-hormone-grown milk may or may not reduce exposure to these growth
hormones. Pesticides used in vegetables and fruits are also a potential source,
as are certain plastics that can mimic estrogen in the body. None of these
theories is confirmed as the cause of previous puberty and may be some other
environmental factor that we have not discovered.
The reaction of a child (and
parents) to this early acne can vary considerably. Sometimes the child does not
even notice it and is more annoying to their parents than to the child. Some
children are very annoyed by it and, like all acne, can make their social and
school life more difficult. Helping your child understand what is happening can
help lessen the stress associated with early puberty and acne, as can a
successful treatment. It can also be emotionally difficult for parents, who see
it as a sign their child is growing in the early stages of adulthood.
Most children first experience
comedonal acne, which is pimples and whiteheads on the nose and central cheeks.
They often do not bother them at first. Aggressive washing and scrubbing does
not help much and can lead to irritation and more redness. Over the counter
salicylic acid wash can be useful if used with care, otherwise consult your
dermatologist for one of several modern versions of Retin-A, which are
particularly good for this type of acne. These medications can dry the skin if
it is overused, so be sure to ask your doctor the correct amount and schedule
to apply.
As children reach full puberty,
acne often worsens around the age of 14-18 with more red shins and sometimes
deep and painful nodules. This type of acne can be more serious and leave
permanent scars, so see our skin specialist in Pune
immediately if it develops for a more aggressive treatment.
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