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.
Contents
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.
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.
Key Takeaways
While most childhood acne is benign, appropriate testing can provide peace of mind and catch any underlying issues early.
Wondering if your child needs testing for their acne? Consult with Doctronic to understand your options and next steps.Related Articles
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.
Always discuss health information with your healthcare provider.