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