Contents
Decoding Your Child's Acne: When to Test for Underlying Issues
Published: Nov 26, 2023
Sometimes, childhood acne is more than just a skin issue. Certain cases may signal underlying health concerns that require medical testing. Let's explore when and why these tests might be necessary.
The Bone Age X-Ray: A Window into Development
One key test for children with acne is the bone age radiograph. This X-ray of the hand and wrist can reveal if a child's skeletal development is ahead of their chronological age. Advanced bone age might indicate premature adrenarche or other hormonal imbalances, prompting further investigation.
Hormonal Health Check
If acne appears unusually early or is accompanied by other signs of early puberty, hormonal testing may be recommended. This typically involves blood tests to measure levels of androgens (male hormones) and other hormones related to growth and development. Elevated hormone levels can help identify conditions like premature adrenarche or, rarely, tumors affecting hormone production.
Beyond Hormones: Other Potential Tests
In some cases, additional tests may be necessary. These could include thyroid function tests, tests for polycystic ovary syndrome (PCOS) in girls, or screenings for other metabolic disorders. While rare, these conditions can sometimes manifest with acne as an early sign.
When is Testing Necessary?
Not all children with acne need extensive testing. Factors that might prompt further investigation include acne before age 7 or after age 12, severe or treatment-resistant acne, or acne accompanied by other signs of early puberty like rapid growth or early development of body hair.
Frequently Asked Questions
No, only cases with concerning features need additional tests.
Most are simple blood tests or X-rays with minimal discomfort.
Results usually come back within a few days to a week.
Most medical insurance plans cover necessary diagnostic tests.
Your doctor will discuss treatment options based on the specific findings.
Knowledge is Power
While most childhood acne is benign, appropriate testing can provide peace of mind and catch any underlying issues early.
References
- Bree AF, Siegfried EC. Acne vulgaris in preadolescent children: recommendations for evaluation. Pediatr Dermatol 2014; 31:27.
- Rosenfield RL. Normal and Premature Adrenarche. Endocr Rev 2021; 42:783.
- Lucky AW, Biro FM, Huster GA, et al. Acne vulgaris in premenarchal girls. An early sign of puberty associated with rising levels of dehydroepiandrosterone. Arch Dermatol 1994; 130:308.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
AI Doctor Visit Required
Appointments available 24/7
Top licensed doctors
Available in all 50 states
Full service care
Prescriptions, referrals & treatment
No insurance needed
All notes available in Doctronic
15-min consultation. No hidden costs.
AI Doctor Visit Required
Please Chat With Our AI Doctor First
Our AI doctor assessment helps our human doctors prepare for your video visit and provide better care
For safety reasons we have been forced to end this consultation.
If you believe this is a medical emergency please call 911 or your local emergency services immediately.
If you are experiencing emotional distress, please call the the Suicide & Crisis Lifeline at 988 or your local crisis services immediately.
Contact us
You can also email us at help@doctronic.ai
We aim to reply within 5-7 days
How likely are you to recommend Doctronic to friends or family?