This looks as it sounds, like tiny acne whiteheads surrounded by a small amount of bright red skin. The acne is usually limited to the face, but occasionally appears as low as on the upper chest and shoulders. They usually appear from 2 to 4 weeks, are worst from 6 to 12 weeks and disappear by 3 to 5 months of age. They acne is often more pronounced in breast fed babies, requires no treatment and will not scar. If you want to make this look better for pictures, you may put a very small amount of hydrocortisone ( over the counter, Cortaid 5 ) on the acne twice a day for 1 to 2 days. Do not use the hydrocortisone more than twice a day or more than 2 days.


Copyright 2006, Joe Matusic, MD, FAAP, AME